Organization · Type 2 NPI

Imagine Orthodontics

Orthodontics and Dentofacial Orthopedics Dentistry · Rogers, MN

NPI number 1417142175 Active

Practice location

14020 Northdale Blvd
Rogers, MN 55374-9612

Mailing address

14096 Starlite Dr
Rogers, MN 55374-5812

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11778 (MN)

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…

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About NPI 1417142175

Imagine Orthodontics's National Provider Identifier is 1417142175, issued on Sep 6, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rogers, MN. The record was last updated on Sep 30, 2009.