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INNOVATION DENTAL PLLC
NPI 1225264302
Dentist - General Practice in Manassas, VA

Active since June 03, 2009
9940 SOWDER VILLAGE SQUARE, MANASSAS, VA 20109(703) 330-3933(703) 330-3517 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovation Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATION DENTAL PLLC (NPI 1225264302), doing business as Wellington Dental Associates, is a healthcare organization registered as a general practice in Manassas, Virginia and active in the NPI registry since June 2009. The organization lists Borarath Mak Yann, Owner, as its authorized official.

NPPES Registry Identity

NPI1225264302
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINNOVATION DENTAL PLLC
Location Address9940 SOWDER VILLAGE SQUAREManassas, VA 20109
Mailing Address9940 Sowder Village SquareManassas, VA 20109 · (703) 330-3933 · Fax (703) 330-3517
Phone(703) 330-3933
Fax(703) 330-3517
Organization SubpartNo
Authorized OfficialBorarath Mak YannOwner · (703) 330-3933
Enumeration DateJune 3, 2009
✔ NPI 1225264302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410448
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.
9940 SOWDER VILLAGE SQUARE, Manassas, VA 20109
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Other Names 1

Former Legal Business NameWellington Dental Associates

Other Identifiers 1

Medicaid1083887194VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovation Dental PLLC's NPI number?

The NPI number for Innovation Dental PLLC is 1225264302. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider was formerly known as Wellington Dental Associates.

Where is Innovation Dental PLLC located?

Innovation Dental PLLC is located at 9940 Sowder Village Square, Manassas, VA 20109. The listed phone number is (703) 330-3933.

What is Innovation Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Innovation Dental PLLC accept?

Health plans from UnitedHealthcare list Innovation Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovation Dental PLLC was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.