Individual provider · Type 1 NPI

Michelle Bongiovi, DMD

Periodontics · Hurlburt Field, FL

NPI number 1376763201 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Mailing address

Hurlburt Field, Bldg 91202,
Dpo, AA 32544

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XS4-19 (NV)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1376763201

Michelle Bongiovi, DMD's National Provider Identifier is 1376763201, issued on Apr 25, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Hurlburt Field, FL. The record was last updated on Apr 20, 2026.