INNOVATION DENTAL CARE LLC – NPI #1942165360
Clinic/Center

INNOVATION DENTAL CARE LLC is an AHC clinic located in ALBANY, GA. NPPES has assigned the NPI number 1942165360 to INNOVATION DENTAL CARE LLC on December 18, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was last updated on Jan 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATION DENTAL CARE LLC below.

NPI Profile for
INNOVATION DENTAL CARE LLC

NPI Number
1942165360
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATION DENTAL CARE LLC
Primary location
2607 GILLIONVILLE RD
ALBANY, GA 31707-3003
Phone: (615) 364-4273 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LARRY DAVIS
CEO
Phone: (229) 340-5670
Updated
Certification Date
Jan 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.