Search icon

MONGILLO ORTHODONTICS PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: MONGILLO ORTHODONTICS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Dec 2020 (5 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 4088341
Place of Formation: IDAHO
File Number: 736352
ZIP code: 83402
County: Bonneville County
Principal Address: DR ANTHONY MONGILLO STE 4 250 S SKYLINE DR IDAHO FALLS, ID 83402
Mailing Address: DR ANTHONY MONGILLO STE 4 250 S SKYLINE DR IDAHO FALLS, ID 83402-3294

Agent

Name Role Address
ANTHONY D MONGILLO Agent 250 S SKYLINE DR, STE 4, IDAHO FALLS, ID 83402

Member

Name Role Address Appointed On
ANTHONY D MONGILLO Member 250 S SKYLINE DR, IDAHO FALLS, ID 83402 2021-11-14

National Provider Identifier

NPI Number:
1043904659
Certification Date:
2024-05-09

Authorized Person:

Name:
DR. ANTHONY DAVID MONGILLO
Role:
SOLE MEMBER/ORTHODONTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
854144610
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005959104 2024-11-03
Annual Report 0005463622 2023-11-05
Annual Report 0005016171 2022-12-06
Annual Report 0004496968 2021-11-14
Initial Filing 0004088341 2020-12-04

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 15 Jun 2025

Sources: Idaho Secretary of State