Organization
ALLIGATOR ORTHODONTICS, LLC
Active
Organization
ALLIGATOR ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY MONGILLO DMD (MANAGER)
(208) 542-1333
Entity
Organization
Contact information
Practice address
2805 EAGLE DR, AMMON, ID 83406-5769
(208) 542-1333
Mailing address
2805 EAGLE DR, AMMON, ID 83406-5769
(208) 542-1333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up