Mongillo Orthodontics, Pllc

LBN: Mongillo Orthodontics, Pllc
Mongillo Orthodontics, Pllc is an health care organization with primary practice located at 250 S Skyline Dr Ste 4 , Idaho Falls ID 83402-3294. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Mongillo Orthodontics, Pllc can be contacted via phone (208) 524-1404, or through Mongillo, Anthony David via phone (208) 524-1404.

Contact Information

Primary practice address
250 S Skyline Dr Ste 4 Idaho Falls ID 83402-3294
Phone: (208) 524-1404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mongillo, Anthony David DMD, MS
Phone: (208) 524-1404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1043904659
LBN Legal business name Mongillo Orthodontics, Pllc
DBA Doing business as
Authorized official Mongillo, Anthony David DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2023
Last updated May 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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