Dana Ericksen, DDS

NPI 1417133851 · on the registry since 2008 · sole proprietor

Practice

Address: 3554 Chain Bridge Rd
Suite 401
Fairfax, VA 22030
Phone: (703) 385-3226
Fax: (703) 385-1472
Organisation at this address: Fairfax Mental Health & Wellness
Pediatric Services Of America, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia