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James Mark Domin, D.D.S.

Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, MI · enumerated 2006 · practices at Oral & Maxillofacial Surgery Associates of Western Michigan Plc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891880654

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Registry record

Entity type Individual (Type 1)
Name James Mark Domin
Credential D.D.S.
Sex Male
Practice address 2140 Lake Michigan Dr Nw, Grand Rapids, MI, 49504
Phone (616) 735-2870
Fax (616) 735-2871
Enumeration date Oct 4, 2006
Last updated in NPPES Jul 9, 2007

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 2901016850 (MI) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier Type State Issuer
0D111530 Other MI BCBS
168500 Other MI BCBSD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for James Domin?
The National Provider Identifier (NPI) for James Domin is 1891880654, a Type 1 (individual) record in the CMS NPPES registry.
Where does James Domin practice?
The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.