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Innovation Dental Pllc
General Practice Dentistry in Manassas, Virginia
NPI 1225264302

Innovation Dental Pllc is a General Practice Dentistry based in Manassas, VA and is specialized in General Practice. Innovation Dental Pllc practices in Manassas, VA. The NPI Number for Innovation Dental Pllc is 1225264302 and holds a License No. 0401410448 (Virginia).

The current practice location address for Innovation Dental Pllc is 9940 Sowder Village Square, Manassas, VA and can be reached out via phone at 703-330-3933 and via fax at 703-330-3517.

Location: 9940 Sowder Village Square, Manassas, VA, 20109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225264302
Provider Name
Innovation Dental Pllc
Credential
Provider Entity Type
Organization
Address
9940 Sowder Village Square, Manassas, VA, 20109
Phone Number
703-330-3933
Fax Number
703-330-3517
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083887194 05 VA
institution
Provider Business Practice Location Address Details
Address
9940 Sowder Village Square
City
Manassas
State
Virginia
Zip
20109
Phone Number
703-330-3933
Fax Number
703-330-3517
person
Provider Business Mailing Address Details
Address
9940 Sowder Village Square
City
Manassas
State
Virginia
Zip
20109
Phone Number
703-330-3933
Fax Number
703-330-3517
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401410448 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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