IMAGINE ORTHODONTIC STUDIO PLLC
NPI 1285200782
Dentist - Orthodontics and Dentofacial Orthopedics in Temple Terrace, FL

Active since June 03, 2021
11502 N 56TH ST, TEMPLE TERRACE, FL 33617(863) 462-4463 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Imagine Orthodontic Studio Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGINE ORTHODONTIC STUDIO PLLC (NPI 1285200782) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Temple Terrace, Florida and active in the NPI registry since June 2021. The organization lists Michael Andrew Hess, Owner, as its authorized official.

NPPES Registry Identity

NPI1285200782
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameIMAGINE ORTHODONTIC STUDIO PLLC
Location Address11502 N 56TH STTemple Terrace, FL 33617-2239
Mailing Address3595 S Florida AveLakeland, FL 33803-4860 · (863) 462-4463
Organization SubpartNo
Authorized OfficialMichael Andrew HessOwner · (727) 743-8307
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1285200782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
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.
11502 N 56TH ST, Temple Terrace, FL 33617

Other Identifiers 1

Medicaid1223X0400XFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imagine Orthodontic Studio PLLC's NPI number?

The NPI number for Imagine Orthodontic Studio PLLC is 1285200782. It was assigned to this organization in the NPPES registry on June 3, 2021.

Where is Imagine Orthodontic Studio PLLC located?

Imagine Orthodontic Studio PLLC is located at 11502 N 56th St, Temple Terrace, FL 33617. The listed phone number is (863) 462-4463.

What is Imagine Orthodontic Studio PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Imagine Orthodontic Studio PLLC was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.