Imagine Orthodontic Studio Pllc | |
1581 Missouri Ave N Largo FL 33770-1853 | |
(727) 724-2400 | |
Not Available |
Full Name | Imagine Orthodontic Studio Pllc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1581 Missouri Ave N, Largo, Florida |
Authorized Official Name and Position | Michael Andrew Hess (OWNER) |
Authorized Official Contact | 7277438307 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Imagine Orthodontic Studio Pllc 7348 Us 19 N Pinellas Park FL 33781-4600 Ph: (727) 865-5711 | Imagine Orthodontic Studio Pllc 1581 Missouri Ave N Largo FL 33770-1853 Ph: (727) 724-2400 |
NPI Number | 1154047819 |
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Provider Enumeration Date | 10/14/2022 |
Last Update Date | 10/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154047819 | NPI | - | NPPES |
108070900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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