Organization · Type 2 NPI

Mongillo Orthodontics, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1043904659 Active

Practice location

250 S Skyline Dr Ste 4
Idaho Falls, ID 83402-3294

Call (208) 524-1404 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1043904659

Mongillo Orthodontics, PLLC's National Provider Identifier is 1043904659, issued on Jun 6, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on May 9, 2024.