Imagine Orthodontics in Rogers - Orthodontics And Dentofacial Orthopedics
Imagine Orthodontics - NPI 1417142175
Imagine Orthodontics is a Orthodontics And Dentofacial Orthopedics in Rogers, Minnesota. Imagine Orthodontics practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Imagine Orthodontics is 1417142175. The last update date is 2009-09-30.
Imagine Orthodontics's current location address is 14096 Starlite Dr, Rogers, Minnesota. You can contact this provider via phone number 7634281912. The mailing address for Imagine Orthodontics is 14096 Starlite Dr, Rogers, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imagine Orthodontics |
|---|---|
| Address | 14096 Starlite Dr, Rogers, Minnesota |
| Phone Number | 7634281912 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Soltys Larson Marie Sarah |
| Credentials | DDS |
| Telephone Number | 6128024673 |
NPI Number Detail
| NPI Number | 1417142175 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2009-09-30 |
Provider Mailing Address Detail
| Address | 14096 Starlite Dr |
|---|---|
| City | Rogers |
| State | Minnesota (MN) |
| Post Code | 553745812 |
| Phone Number | 7634281912 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 11778 |
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Definition: 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 rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Imagine Orthodontics by the Centers for Medicare & Medicaid Services?
The Imagine Orthodontics has been issued the NPI (National Provider Identifier) 1417142175, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Imagine Orthodontics?
The Imagine Orthodontics is physically situated at 14096 Starlite Dr, in the city of Rogers, state of MN, with the postal code 553745812.
What is the area of specialization for Imagine Orthodontics, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Imagine Orthodontics is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417142175 to Imagine Orthodontics?
The Centers for Medicare & Medicaid Services originally issued the 1417142175 to Imagine Orthodontics on 2007-09-06.
When was the Imagine Orthodontics's information last updated?
The Imagine Orthodontics's information was last updated on 2009-09-30.