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

Dr. Anthony Mongillo, DMD, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1669886982

Dr. Anthony Mongillo, DMD, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Idaho Falls, Idaho. Licensed in Idaho, Missouri and Wyoming. Registered with an NPI since 2014.

Licensed in
ID, MO, WY
In the registry since
2014
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

250 S Skyline Dr Ste 4
Idaho Falls, ID 83402-3292
Phone: (208) 524-1404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D-4708-OR (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 1569 (WY)
Dentist Taxonomy 122300000X · Licence 2014017950 (MO)

Record details

NPI number1669886982
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorNo
NPI enumeratedJune 13, 2014
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Other providers in Idaho Falls