IMAGINE ORTHODONTICS
NPI 1417142175
Dentist - Orthodontics and Dentofacial Orthopedics in Rogers, MN

Active since September 06, 2007
14020 NORTHDALE BLVD, ROGERS, MN 55374(763) 428-1912 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Imagine Orthodontics NPPES

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

IMAGINE ORTHODONTICS (NPI 1417142175) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Rogers, Minnesota and active in the NPI registry since September 2007. The organization lists Sarah Marie Soltys Larson, President, as its authorized official.

NPPES Registry Identity

NPI1417142175
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameIMAGINE ORTHODONTICS
Location Address14020 NORTHDALE BLVDRogers, MN 55374-9612
Mailing Address14096 Starlite DrRogers, MN 55374-5812 · (763) 428-1912
Organization SubpartNo
Authorized OfficialSarah Marie Soltys LarsonPresident · (612) 802-4673
Enumeration DateSeptember 6, 2007
Last NPPES UpdateSeptember 30, 2009
NPI 1417142175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · 11778
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.

14020 NORTHDALE BLVD, Rogers, MN 55374

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

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
14020 NORTHDALE BLVD, SUITE A
ROGERS, MN 55374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417142175, enumerated as an "organization" on September 06, 2007.

The provider is located at 14020 NORTHDALE BLVD ROGERS, MN 55374 and the phone number is (763) 428-1912.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.