P Praxis·MD
● Active Type 2 · Organization

Mongillo Orthodontics, Pllc

Dentist·Idaho Falls, ID· NPI 1043904659 · Enumerated 2023 · 2 years on NPI
Mongillo Orthodontics, Pllc is 1 of 135 dentist organizations in Idaho.
NPI age
2 years
Enumerated 2023-06-06
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mongillo
Sole Member/orthodontist
Last NPPES update
2024-05-09
Source: monthly bulk 2026-05

How this organization compares

Across 135 active dentist providers in Idaho.

NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
250 S Skyline Dr Ste 4
Idaho Falls, ID 834023294
📞 2085241404
Mailing address
250 S Skyline Dr Ste 4
Idaho Falls, ID 834023294
📞 2085241404

Authorized official

Anthony David Mongillo, DMD, MS
Sole Member/orthodontist
📞 2085241404

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    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...
    taxonomy 1223X0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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