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Organization
INNOVATION DENTAL CARE LLC
Active
Organization
INNOVATION DENTAL CARE LLC
Active
Other names
South Georgia Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DAVIS (CEO)
(229) 340-5670
Entity
Organization
Contact information
Practice address
2607 GILLIONVILLE RD, ALBANY, GA 31707-3003
(615) 364-4273
Mailing address
2607 GILLIONVILLE RD, ALBANY, GA 31707-3003
(615) 364-4273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
01/22/2026
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