Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES MARK DOMIN, D.D.S.
ActiveJAMES MARK DOMIN, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1891880654 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1891880654
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.900009638157 yrs)
- Last Updated
- Jul 9, 2007
- License
-
2901016850 (MI)
Practice Information
- Address
-
2140 LAKE MICHIGAN DR NWGRAND RAPIDS, MI, 495044785Browse MI providers · Browse ZIP 49504
- Phone
- 6167352870
- Fax
- 6167352871
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID R DALRYMPLE | DDS, MD | 1427002377 |
| NORMAN V PALM | DDS | 1891886289 |
| JULIE B BILLUPS | DDS | 1922190578 |
| DR. KENNETH J MULDER | DDS,MS | 1982796447 |
| DR. ROBERT L KINTZ | DDS | 1003908575 |
| LONNY E ZIETZ | D.D.S., M.S. | 1720173529 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.