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

Dr. Marvin Ryan Domondon, DMD

Individual provider General Practice Dentistry · NPI 1154543858

Dr. Marvin Ryan Domondon, DMD is a General Practice Dentistry in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

201 Providence Rd
Charlotte, NC 28207-1417
Phone: (704) 376-6470
Fax: (704) 496-2914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8341 (NC)

Record details

NPI number1154543858
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESDecember 31, 2009

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