Mongelli, Jessica E
Mongelli, Jessica E is an individual health care provider with primary practice located at 1093 Helena Avenue , Helena MT 59601-3558. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mongelli, Jessica E can be contacted via phone (406) 442-5930.Contact Information
Primary practice address
1093 Helena Avenue
Helena MT 59601-3558
Phone: (406) 442-5930
Fax: (406) 442-5931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2160 | Montana |
Profile Details
| NPI number | 1639212947 |
|---|---|
| LBN Legal business name | Mongelli, Jessica E |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639212947 | NPPES |
| Montana | MEDICAID | 0113322 |
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