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Michelle Bongiovi, DMD

NPI 1376763201ActiveIndividual· Dentist, Periodontics· Hurlburt Field, FL

Dentist, Periodontics (DMD) in Hurlburt Field, Florida, licensed in NV, with an NPI issued in April 2007.

Overview

NPI1376763201
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorYes
NPI issuedApr 25, 2007
Last updated in NPPESApr 20, 2026
Certified by providerApr 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300XS4-19NV

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other periodontists in Hurlburt Field

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