Imagine Dental & Orthodontics LLC

NPI #1386348787 in Ankeny, Iowa

Provider Information

NPI Number: 1386348787
Entity Type: Organization
Organization Name: Imagine Dental & Orthodontics LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 29, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 201 S ANKENY BLVD
City: Ankeny
State: Iowa
ZIP Code: 50023-3116
Phone: (515) 964-5602

Authorized Official

Name: THOMAS BENTON ROLLINS
Title: OWNER
Phone: (850) 393-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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