| Innovation Dental Care Llc | |
|
2607 Gillionville Rd Albany GA 31707-3003 | |
| (615) 364-4273 | |
| Not Available |
| Full Name | Innovation Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2607 Gillionville Rd, Albany, Georgia |
| Authorized Official Name and Position | Larry Davis (CEO) |
| Authorized Official Contact | 2293405670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Dental Care Llc 2607 Gillionville Rd Albany GA 31707-3003 Ph: (615) 364-4273 | Innovation Dental Care Llc 2607 Gillionville Rd Albany GA 31707-3003 Ph: (615) 364-4273 |
| NPI Number | 1942165360 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 01/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942165360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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