Innovation Dental Pllc is a Dental Clinic in Manassas, Virginia. It is located at 9940 Sowder Village Square, Manassas, VA and its contact number is 703-330-3933. The authorized person for Innovation Dental Pllc is Borarath Mak Yann
who is Owner of the clinic and their contact number is 703-330-3933. The primary license number for Innovation Dental Pllc is 0401410448 (General Practice) in Virginia.
Innovation Dental Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Innovation Dental Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Innovation Dental Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 9940 Sowder Village Square, Manassas,
Virginia, 20109 |
| Phone: | 703-330-3933 |
| Fax: | 703-330-3517 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Borarath Mak Yann |
| Position: | Owner |
| Contact Number: | 703-330-3933 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Innovation Dental Pllc clinic are as mentioned below.
| NPI Number: | 1225264302 |
| NPI Enumeration Date: | 03 Jun, 2009 |
| NPI Last Update On: | 03 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovation Dental Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 0401410448 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1083887194 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Innovation Dental Pllc
9940 Sowder Village Square,
Manassas, Virginia |
| Zip: | 20109 |
| Phone Number: | 703-330-3933 |
| Fax Number: | 703-330-3517 |
Patients can reach Innovation Dental Pllc at
9940 Sowder Village Square, Manassas, Virginia or can
call to book an appointment on 703-330-3933.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.