Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE BONGIOVI, DMD
Active Sole ProprietorPeriodontology · DPO, AA
Registration Details
- NPI Number
- 1376763201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2007 (19.053994162547 yrs)
- Last Updated
- Oct 3, 2024
- License
-
3070 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
HURLBURT FIELD USAF1SOMDG/SGDD, BLDG 91202DPO, AA, 32544Browse AA providers · Browse ZIP 32544
- Phone
- 8508847881
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.