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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.