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DR. MARVIN RYAN DOMONDON D.M.D.
NPI 1154543858
Dentist - General Practice in Charlotte, NC

Active since May 03, 2007
201 PROVIDENCE RD, CHARLOTTE, NC 28207(704) 376-6470(704) 496-2914 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marvin Ryan Domondon D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARVIN RYAN DOMONDON D.M.D. (NPI 1154543858) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (8341) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1154543858
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARVIN RYAN DOMONDONCredential: D.M.D.
Location Address201 PROVIDENCE RDCharlotte, NC 28207-1417
Mailing Address201 Providence RdCharlotte, NC 28207-1417 · (704) 376-6470 · Fax (704) 496-2914
Phone(704) 376-6470
Fax(704) 496-2914
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 31, 2009
✔ NPI 1154543858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 8341
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
201 PROVIDENCE RD, Charlotte, NC 28207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE KRISTIN CARBERRY DDS
Dentist
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
ROBERT EDWIN WALKER DDS
Dentist
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
ARMSTRONG & ESHLEMAN, PA
Dentist (General Practice)
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
DR. AMANDA H. LINCH
Dentist (General Practice)
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
REBECCA B BRADLEY DDS
Dentist (General Practice)
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
DR. ERIC P. WOLFINGER DDS
Dentist (General Practice)
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
DR. JONATHAN D ESHLEMAN DDS
Dentist (General Practice)
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 376-6470
BENJAMIN WILLIAMS DMD
Dentist
201 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (704) 496-2940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Domondon's NPI number?

The NPI number for Marvin Domondon is 1154543858. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Marvin Domondon located?

Marvin Domondon practices at 201 Providence Rd, Charlotte, NC 28207. The listed phone number is (704) 376-6470.

What is Marvin Domondon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Marvin Domondon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Marvin Domondon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marvin Domondon was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.