Alligator Orthodontics, LLC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Ammon, ID
NPI 1992553499 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1992553499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- ALLIGATOR ORTHODONTICS, LLC
- Practice address
- 2805 Eagle Dr
Ammon, ID 83406-5769 - Phone
- (208) 542-1333
- NPI assigned
- May 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Mongillo, DMD
- Title
- Manager
- Phone
- (208) 542-1333
Practitioners 3
-
Mark Marlowe, DDS
-
Anthony Mongillo, D.M.D, M.S.
National Provider Directory
Locations
2805 Eagle Dr
Ammon, ID 83406
Phone (208) 542-1333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | Yes |
Addresses
Primary practice location
2805 Eagle Dr
Ammon, ID 83406-5769
Mailing address
2805 Eagle Dr
Ammon, ID 83406-5769
Phone (208) 542-1333
Other providers in Ammon, ID
- Albertsons LLC
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- Align Counseling Services PLLC
- Align Counseling Services PLLC
- Stacey Lyn Allen
- Alligator Pediatric Dentistry ,PLLC
- Ryan Allred
- Amedisys Idaho, L.L.C.
- Terry N Amiel
- Ammon Medical and Urgent Care PLLC
All providers in Ammon, ID · Orthodontics and Dentofacial Orthopedics Dentistry in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.