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Search › Idaho › Orthodontics and Dentofacial Orthopedics Dentistry

Anthony Mongillo, D.M.D, M.S

NPI 1669886982 · on the registry since 2014

Practice

Address
250 S Skyline Dr Ste 4
Idaho Falls, ID 83402
Phone
(208) 524-1404
Organisation at this address
Kreed Bowman Od Pllc
Mongillo Orthodontics, Pllc
Empowering Human Services, Llc.
Luminous Wisdom Sandplay Therapy And Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Also registered as
Orthodontics and Dentofacial Orthopedics Dentistry
Dentist
Licence states on file
WY, ID, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho