DR. CHARLES M MARVIN (NPI# 1700995727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700995727 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M MARVIN |
| Credential | DDS |
| Practice Address |
978 Route 45 Northside Plaza, Suite 207 Pomona NY 10970-3521 |
| Practice Telephone | 8453544600 |
| Practice Fax Number | 8453544653 |
| Mailing Telephone | 8453544600 |
| Mailing Fax Number | 8453544653 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
048411-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02042 244 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346803 | Charles Noell Marvin Jr. | Plastic Surgery | 17300 5th Ave N, Plymouth, MN 55447-3594 | 2006-05-24 |
| Street Address |
978 ROUTE 45 NORTHSIDE PLAZA, SUITE 207 |
| City | POMONA |
| State | NY |
| Zip Code | 10970-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486799 | Leonard A Chiat | Dentist | 978 Route 45, Ste 104, Pomona, NY 10970-3565 | 2005-06-08 |
| 1841738010 | Burchell Advanced Practice Services | Nurse Practitioner | 978 Route 45, Suite L7, Pomona, NY 10970-3521 | 2017-02-07 |
| 1750823258 | Psychologist Adriana L Gonzalez Phd Pllc | Community/Behavioral Health | 978 Route 45, Suite 104, Pomona, NY 10970-3521 | 2016-11-15 |
| 1457709529 | Phara Gladden,lcsw,pllc | Social Worker | 978 Route 45, Suite 104, Pomona, NY 10970-3521 | 2016-05-31 |
| 1730535972 | Virginia Mary Roman-casey | Dietitian, Registered | 978 Route 45, Pomona, NY 10970-3521 | 2016-05-06 |
| 1497118350 | Kenneth Fliesser Lcsw PC | Clinic/Center | 978 Route 45, Pomona, NY 10970-3521 | 2016-03-29 |
| 1629438726 | Safe Harbor Psychiatric Services, Pllc | Psychiatry & Neurology | 978 Route 45, Suite 203, Pomona, NY 10970-3521 | 2016-03-02 |
| 1538567003 | Terry Robertson | Podiatrist | 978 Route 45, Ste 109, Pomona, NY 10970-3512 | 2014-12-15 |
| 1912305640 | New York Podiatric Foot Surgery, P.C. | Podiatrist | 978 Route 45, Suite 109, Pomona, NY 10970-3521 | 2014-12-11 |
| 1346687365 | Henry Judka | Psychologist | 978 Route 45, Suite 204, Pomona, NY 10970-3521 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| Find all providers in zip 10970 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386720 | Diana Kim Dds A Dental Corporation | Dentist | 117 W Willow St Ste A, Pomona, CA 91768-1829 | 2019-09-25 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1194957969 | Mario Pureco | Dentist | 1541 S Garey Ave, Pomona, CA 91766-5222 | 2009-08-12 |
| 1447484076 | Martinez & Zermeno II A Professinal Dental Corporation | Dentist | 1549 E Holt Ave, Pomona, CA 91767-5823 | 2009-05-11 |
| 1932341195 | Pomona Family Dental Practice | Dentist | 1021 E Holt Ave, Pomona, CA 91761-5720 | 2009-04-01 |
| 1861632010 | Armen Mardirosian | Dentist | 180 E Mission Blvd Suite A, Pomona, CA 91766 | 2009-03-01 |
| 1881842292 | Su Dentista De Confianza Dental Office | Dentist | 2127 N Towne Ave, Pomona, CA 91767-2422 | 2008-08-28 |
| 1003072141 | Miro Itskovich, Dds Inc. | Dentist | 847 Philadelphia St., Pomona, CA 91766-5714 | 2008-07-29 |
| 1285899443 | St Moises Dental | Dentist | 12 Rancho Camino Dr Ste 102, Pomona, CA 91766-7008 | 2008-07-26 |
| 1760642201 | Foster Jr, Charles L, Dds Inc | Dentist | 243 E Mission Blvd, Pomona, CA 91766-1846 | 2008-06-09 |
| Find all providers in POMONA | ||||
Please comment or provide details below to improve the information on DR. CHARLES M MARVIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.