DR. ANTHONY MONGILLO D.M.D, M.S.
NPI 1669886982
Dentist - Orthodontics and Dentofacial Orthopedics in Idaho Falls, ID

Active since June 13, 2014
250 S SKYLINE DR STE 4, IDAHO FALLS, ID 83402(208) 524-1404 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Sep 9, 2022, Oct 28, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Anthony Mongillo D.m.d, M.s. NPPES

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

DR. ANTHONY MONGILLO D.M.D, M.S. (NPI 1669886982) is an individual orthodontics and dentofacial orthopedics provider in Idaho Falls, Idaho, licensed in Idaho (D-4708-OR) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1669886982
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ANTHONY MONGILLOCredential: D.M.D, M.S.
Location Address250 S SKYLINE DR STE 4Idaho Falls, ID 83402-3292
Mailing Address250 S Skyline Dr Ste 4Idaho Falls, ID 83402-3292 · (208) 524-1404
Sole ProprietorNo
Enumeration DateJune 13, 2014
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1669886982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in ID · D-4708-OR Licensed in WY · 1569
Definition
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 malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 2014017950 (MO)
250 S SKYLINE DR STE 4, Idaho Falls, ID 83402

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
250 S SKYLINE DR STE 4
IDAHO FALLS, ID 83402

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 Anthony Mongillo's NPI number?

The NPI number for Anthony Mongillo is 1669886982. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Anthony Mongillo located?

Anthony Mongillo practices at 250 S Skyline Dr Ste 4, Idaho Falls, ID 83402. The listed phone number is (208) 524-1404.

What is Anthony Mongillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Anthony Mongillo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Anthony Mongillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Mongillo was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.