Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imagine Orthodontic Studio PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1700411857

Imagine Orthodontic Studio PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Lakeland, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3595 S Florida Ave
Lakeland, FL 33803-4860
Phone: (727) 743-8307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1700411857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paiyal Popat — Owner · (407) 758-5424
NPI enumeratedMarch 10, 2020
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address3595 S Florida Ave, Lakeland, FL 33803-4860

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