Individual provider · Type 1 NPI

Marvin Ryan Domondon, DMD

General Practice Dentistry · Charlotte, NC

NPI number 1154543858 Active

Practice location

201 Providence Rd
Charlotte, NC 28207-1417

Call (704) 376-6470 Map

Fax (704) 496-2914

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8341 (NC)

General Practice Dentistry: 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.

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About NPI 1154543858

Marvin Ryan Domondon, DMD's National Provider Identifier is 1154543858, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Charlotte, NC. The record was last updated on Dec 31, 2009.