Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alligator Orthodontics, LLC

Organization Pediatric Dentistry · NPI 1992553499

Alligator Orthodontics, LLC is a Pediatric Dentistry in Ammon, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 Eagle Dr
Ammon, ID 83406-5769
Phone: (208) 542-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Pediatric Dentistry Taxonomy 1223P0221X

Record details

NPI number1992553499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Mongillo — Manager · (208) 542-1333
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address2805 Eagle Dr, Ammon, ID 83406-5769

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