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MICHELLE BONGIOVI DMD
NPI 1376763201
Dentist - Periodontics in Hurlburt Field, FL

Active since April 25, 2007
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 884-7881 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Oct 3, 2024, Apr 19, 2018 (3 updates tracked since 2018).

About Michelle Bongiovi Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE BONGIOVI DMD (NPI 1376763201) is an individual periodontics provider in Hurlburt Field, Florida, licensed in Nevada (S4-19) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1376763201
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMICHELLE BONGIOVICredential: DMD
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing AddressHurlburt Field, Bldg 91202,Dpo, AA 32544 · (850) 884-7881
Phone(850) 884-7881
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1376763201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NV · S4-19
Definition
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.
113 LIELMANIS AVE, Hurlburt Field, FL 32544
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bongiovi's NPI number?

The NPI number for Michelle Bongiovi is 1376763201. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Michelle Bongiovi located?

Michelle Bongiovi practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 884-7881.

What is Michelle Bongiovi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Michelle Bongiovi was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.