# IMAGE ORTHODONTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063768471
- **Authorized official:** DR. RYAN BRADLEY HELMS DDS MSD (PRESIDENT)
- **Authorized official phone:** (765) 490-1031

## Contact information

- **Practice address:** 1748 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-2271
- **Practice address phone:** (765) 463-6622
- **Mailing address:** 1748 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-2271
- **Mailing address phone:** (765) 463-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 54001743A | IN | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012