IMAGINE ORTHODONTIC STUDIO PLLC

Address: 3595 S Florida Ave, Lakeland, FL 33803-4860
Phone: 7277438307

IMAGINE ORTHODONTIC STUDIO PLLC (NPI# 1700411857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700411857
Entity Type Organization
Organization Name IMAGINE ORTHODONTIC STUDIO PLLC
Practice Address 3595 S Florida Ave
Lakeland
FL 33803-4860
Practice Telephone 7277438307
Enumeration Date 2020-03-10
Last Update Date 2020-05-11
Authorized Official Name PAIYAL POPAT (OWNER)
Authorized Official Telephone 4077585424
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Office Location

Street Address 3595 S FLORIDA AVE
City LAKELAND
State FL
Zip Code 33803-4860

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NPI Name Taxonomy Address Enumeration
1861964819 Steven P Agelidis Counselor 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 2018-12-31
1902316201 Kesara Mai Ngam Massage Therapist 117 West Oak Drive, Lakeland, FL 33803 2017-10-02
1396260618 Suncoast Behavioral Solutions, LLC Behavioral Analyst 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 2017-08-08
1316484413 Daniel Jacob Stahl Behavior Technician 145 East Edgewood Drive, Lakeland, FL 33803 2017-01-26
1780037002 Shelley Stettinius Behavioral Analyst 145 East Edgewood Dr, Lakeland, FL 33803 2016-07-21
1396106654 Highlands Occupational Therapy, Inc Occupational Therapist 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 2016-03-15
1003289570 Jayna Dinsmore Physical Therapy Assistant 321 Imperial Blvd, D38, Lakeland, FL 33803 2015-11-05
1093187429 Healthstat Wellness Polk-Lakeland Preventive Medicine 3215 Winter Lake Road, Lakeland, FL 33803 2015-10-26
1962812545 Florida Presbyterian Homes, Inc Nursing Facility/Intermediate Care Facility 901 Lakeside Avenue, Lakeland, FL 33803 2014-05-05
1710316336 Trinity Endodontics Health Maintenance Organization 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 2013-11-04
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy 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 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063618759 Keith Hilliard Dmd Pa Dentist 330 E Highland Drive, Lakeland, FL 33813-1727 2007-06-21
1891830071 Alan D Shoopak Dmd Orthodontic Group Vii LLC Dentist 4740 Cleveland Heights Blvd, Suite 4, Lakeland, FL 33813-2187 2007-02-21
1477029031 Jonathan Scott Dentist 5110 S Lakeland Dr, Lakeland, FL 33813-2500 2018-10-22
1164881835 Children and Teen Ortho Group of Florida Dentist 3885 S Florida Ave, Lakeland, FL 33813 2016-02-23
1922378785 Andrew Dietrich Dentist 330 E Highland Dr, Lakeland, FL 33813-1727 2012-01-10
1235346149 Jorge Parajon, Dds, Ms, Pa Dentist 4238 Us Highway 98 N, Lakeland, FL 33809-3819 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326647215 Matthew Inaba Pickron Dentist 6476 Lake Worth Rd, Lake Worth, FL 33463 2020-10-21
1366056848 Brandon Lee Zipper Dentist 901 N Congress Ave Ste 107, Boynton Beach, FL 33426-3316 2020-09-02
1952933541 Katherine Kapernaros Dentist 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 2020-02-11
1609408574 Ortho 99 Plus 1 Dentist 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 2020-02-10
1538709514 Gardner Orthodontics Dentist 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 2020-01-08
1700421344 Lindsay A Ringdahl Dmd Ms Pa Dentist 85 Weston Rd Unit 102, Weston, FL 33326-1158 2019-11-07
1942844493 Daniel R Camacho Dentist 4330 Sheridan St Ste 201a, Hollywood, FL 33021-1406 2019-10-28
1982247102 Thebis A. Franceschi Dentist 813 Delmar Way Apt 116, Delray Beach, FL 33483-3366 2019-10-21
1427610310 Spencer Michael Mathews Dentist 1395 Center Dr Rm D7-19, Gainesville, FL 32610-3006 2019-07-01
1134682735 Nitin Sallapudi Dentist 140 Indian Ave, Venice, FL 34285-2629 2019-04-10
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Competitor

Search similar providers

City LAKELAND
Zip Code 33803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.