Imagine Orthodontic Studio Pllc

NPI #1154047819 in Largo, Florida

Provider Information

NPI Number: 1154047819
Entity Type: Organization
Organization Name: Imagine Orthodontic Studio Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Oct 14, 2022
Last Updated: Oct 14, 2022

Practice Location

Address: 1581 MISSOURI AVE N
City: Largo
State: Florida
ZIP Code: 33770-1853
Phone: (727) 724-2400

Authorized Official

Name: MICHAEL ANDREW HESS, DMD, MS
Title: OWNER
Phone: (727) 743-8307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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