OrganizationActive
Alligator Orthodontics, LLC
NPI 1992553499 · Orthodontics and Dentofacial Orthopedics Dentistry · Ammon, ID
Provider details
- NPI number
- 1992553499
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Anthony Mongillo, Manager
Mailing address
2805 Eagle Dr
Ammon, ID 83406-5769
Registry dates
- Enumerated
- 2024-05-09
- Last updated
- 2024-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.