Organization · Type 2 NPI
Imagine Orthodontic Studio PLLC
Orthodontics and Dentofacial Orthopedics Dentistry · Temple Terrace, FL
Practice location
11502 N 56th St
Temple Terrace, FL 33617-2239
Mailing address
3595 S Florida Ave
Lakeland, FL 33803-4860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1285200782
Imagine Orthodontic Studio PLLC's National Provider Identifier is 1285200782, issued on Jun 3, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Temple Terrace, FL. The record was last updated on Jun 3, 2021.