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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANTHONY MONGILLO, D.M.D, M.S.

Active

DR. ANTHONY MONGILLO, D.M.D, M.S. is a Orthodontics healthcare provider located in IDAHO FALLS, Idaho. NPI 1669886982 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · IDAHO FALLS, ID

Registration Details

NPI Number
1669886982
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2014 (12.129733807723 yrs)
Last Updated
May 9, 2024
Licenses
1569 (WY)
D-4708-OR (ID)
2014017950 (MO)

Practice Information

Address
250 S SKYLINE DR STE 4
IDAHO FALLS, ID, 834023292
Browse ID providers · Browse ZIP 83402
Phone
2085241404
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Dentist

Other Orthodontics Providers in IDAHO FALLS, ID

Name Credential NPI
DR. BRETT EDDIS MOOSO D.D.S.,M.S.,P.A. 1902902208
DR. DWIGHT DOUGLAS BAKER D.D.S., M.S. 1053496083
DR. JEFFREY W JOHNSON DDS, MS 1821130253
PHILLIP DAVID LOWDER D.D.S., M.CL.D 1902949969
LAYNE K MCCORD D.M.D. 1306053350
DR. JOSEPH HYRUM ELISON DDSMS 1710188081
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.