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

Michelle Bongiovi, DMD

Individual provider Periodontics · NPI 1376763201

Michelle Bongiovi, DMD is a Periodontics in Hurlburt Field, Florida. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (850) 884-7881
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence S4-19 (NV)

Record details

NPI number1376763201
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing addressHurlburt Field, Bldg 91202, Dpo, AA 32544

Other providers in Hurlburt Field