Doctor profile · Federal record
Dr. Marvin Domondon, D.M.D.
General Practice Dentistry · Charlotte, NC
- NPI 1154543858
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
201 Providence RD
Charlotte, NC 282071417
(704) 376-6470
fax (704) 496-2914
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- December 31, 2009
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- North Carolina #8341
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154543858. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $13.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
20
Patients
17
Total drug cost
$54
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 20 | 17 | $54 |
Frequently asked questions
What is Dr. Marvin Domondon's medical specialty?
Dr. Marvin Domondon practices General Practice Dentistry in Charlotte, NC.
Where does Dr. Marvin Domondon practice?
Dr. Marvin Domondon practices at 201 Providence RD, Charlotte, NC 282071417. Office phone: 7043766470.
What is Dr. Marvin Domondon's NPI?
Dr. Marvin Domondon's National Provider Identifier (NPI) is 1154543858, issued by NPPES.