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

Dr. Marco Antonio Mongalo III, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619535309

Dr. Marco Antonio Mongalo III, DDS is a Student in an Organized Health Care Education/Training Program in Lake Mary, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2684 Cahill Way
Lake Mary, FL 32746-2322
Phone: (407) 325-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619535309
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 29, 2019

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