Kent R Wildern DDS PC
Kent R Wildern DDS PC is a Dental Clinic/Center in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4701 Plainfield Ave NEGrand Rapids, MI 49525-1644
Phone: (616) 364-8716
Fax: (616) 364-8716
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X (MI) |
|---|
Record details
| NPI number | 1750803300 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Kent R Wildern DDS PC |
| Authorized official | Kent Wildern — Owner · (616) 364-8716 |
| NPI enumerated | July 14, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4701 Plainfield Ave Ne, Grand Rapids, MI 49525-1644 |
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