Alligator Orthodontics, Llc

LBN: Alligator Orthodontics, Llc
Alligator Orthodontics, Llc is an health care organization with primary practice located at 2805 Eagle Dr , Ammon ID 83406-5769. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is the primary health care specialty. Alligator Orthodontics, Llc can be contacted via phone (208) 542-1333, or through Mongillo, Anthony via phone (208) 542-1333.

Contact Information

Primary practice address
2805 Eagle Dr Ammon ID 83406-5769
Phone: (208) 542-1333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mongillo, Anthony Doctor of Dental Medicine (DMD)
Phone: (208) 542-1333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1992553499
LBN Legal business name Alligator Orthodontics, Llc
DBA Doing business as
Authorized official Mongillo, Anthony Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2024
Last updated May 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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