MICHELLE BONGIOVI (NPI# 1376763201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376763201 |
| Entity Type | Individual |
| Full Name | MICHELLE BONGIOVI |
| Credential | DMD |
| Practice Address |
Usaf Psc 78 Apo AP 96326-0001 |
| Mailing Address |
Psc 78 Box 57 Apo AP 96326-0001 |
| Practice Telephone | 3152253852 |
| Mailing Telephone | 3152253852 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3070 | NV | Dental Providers |
| Street Address |
USAF PSC 78 |
| City | APO |
| State | AP |
| Zip Code | 96326-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144655648 | Eric J Kliber | Physician Assistant | 4408 Mcguire Ave, Apo, AP 96326 | 2013-09-04 |
| 1780831537 | Marilyn Thuy Lai | Optometrist | 374th Medical Group, Yokota Air Base, Apo, AP 96326 | 2008-08-23 |
| 1245307115 | Matthew G. Kesler | Pediatrics | 374th Mdg, Yokota Air Base, Japan, Unit 5071 Bldg 4408, Apo, AP 96326 | 2006-11-29 |
| 1306937917 | David Folmar | Pharmacist | 374 Medgroup/sgsap, Unit 5071 Bldg 4408, Apo, AP 96326 | 2006-09-27 |
| 1922118223 | Hui Ling Li | Family Medicine | Psc 78 Box 1279, Apo, AP 96326 | 2006-08-30 |
| 1538195052 | Tonita Rochelle Bell-buck | Social Worker | Psc 78 Box 1676, Apo, AP 96326 | 2006-06-25 |
| 1508821893 | Walter Peter Humenick | Counselor | Psc 78, Box 7362, Apo, AP 96326 | 2006-04-19 |
| 1932160827 | Sharon Rene Boggs | Social Worker | Psc 78 Box 3944, Apo, AP 96326 | 2006-03-30 |
| 1215909155 | Gloria Hoban | Dentist | Psc 78 Box 107, Apo, AP 96326 | 2006-02-05 |
| 1275518094 | Cathy Sue Chanin | Military Health Care Provider | Yokota Edis, Usnh Yokota, Bldg 1374, Apo, AP 96326 | 2005-12-14 |
| Find all providers in zip 96326 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346285525 | David Hongseok Kwon | Dentist | 618th Dental Company(as), Usa Dentac-korea, Unit #15652, Apo, AP 96205-5652 | 2006-06-19 |
| 1437109956 | David Allen Mott | Dentist | Usa Dental Activity -hawaii, Pacific Regional Dental Command, Apo, AP 96859-5000 | 2006-05-12 |
| 1598740912 | Robert Franklin Blodgett Jr. | Dentist | 18th Dental Squadron, Unit 5270, Apo, AP 96368 5270 | 2005-12-08 |
| 1831173624 | Richard Alden Nichols | Dentist | Us Army Dental Activity Bavaria, Unit 28038, Apo, AE 09112 | 2005-12-05 |
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1568456192 | Ruben Sarmiento Sagun Jr. | Dentist | 86 Mdg, Unit 3215, Apo, AE 09094-3215 | 2005-09-09 |
| 1861486326 | Raymond Martin Klein | Dentist | Psc 80 Box 14563, Apo, AP 96367-0048 | 2005-09-09 |
| 1578638342 | Michael George Moyer | Dentist | Bavaria Dental Activity Credentials Office, Cmr 475, Apo, AE 09036 | 2006-11-21 |
| 1366460693 | Casey Mccray Campbell | Dentist | 51 Mdg, Unit 2060, Apo, AP 96278-2060 | 2006-07-17 |
| 1538150099 | Kenn Kaneshiro | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-11-03 |
| Find all providers in APO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.