Organization
INNOVA SLEEP INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEXTER MATTOX DMD, MD (OWNER)
(912) 266-8100
Entity
Organization
Contact information
Practice address
149 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0514
(912) 266-8100
(912) 266-8125
Mailing address
149 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0514
(912) 266-8100
(912) 266-8125
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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