Active NPIIndividual provider

Dr. Charles M Marvin, DDS

Dentist, General Practice in Pomona, New York

NPI Number1700995727
Practice location
978 Route 45, Northside Plaza, Suite 207, Pomona, NY 10970-3521
Fax
845-354-4653
Last updated
July 8, 2007

Charles M Marvin is a Dentist, General Practice based in Pomona, NY. Charles M Marvin practices in Pomona, NY and has the professional credentials of DDS. The NPI Number for Charles M Marvin is 1700995727 and holds a License No. 048411-1 (NY). The current practice location address for Charles M Marvin is 978 Route 45, Northside Plaza, Suite 207, Pomona, NY 10970-3521 and can be reached out via phone at 845-354-4600 and via fax at 845-354-4653.

Provider Profile Details

NPI Number
1700995727
Provider Name
Charles M Marvin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
978 Route 45, Northside Plaza, Suite 207, Pomona, NY 10970-3521
Phone Number
845-354-4600
Fax Number
845-354-4653
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
978 Route 45
Northside Plaza, Suite 207
Pomona, NY 10970-3521
City
Pomona
Zip
10970-3521
Phone Number
845-354-4600
Fax Number
845-354-4653
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
978 Route 45
Northside Plaza, Suite 207
Pomona, NY 10970-3521
City
Pomona
State
NY
Zip
10970-3521
Phone Number
845-354-4600
Fax Number
845-354-4653

License Information

License Number
048411-1
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles M Marvin, DDS?

The NPI number of Dr. Charles M Marvin, DDS is 1700995727. It was assigned on August 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles M Marvin, DDS?

Dr. Charles M Marvin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 048411-1.

Where does Dr. Charles M Marvin, DDS practice?

The practice location is 978 Route 45, Northside Plaza, Suite 207, Pomona, NY 10970-3521. The office can be reached at 845-354-4600 (phone) or 845-354-4653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700995727 directly on the NPPES registry website.

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