Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andres Wilson Setaputri, DDS

Individual provider General Practice Dentistry · NPI 1710393095

Dr. Andres Wilson Setaputri, DDS is a General Practice Dentistry in Southgate, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

16060 Holz Dr Unit 77
Southgate, MI 48195-2991
Phone: (734) 250-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901021307 (MI)

Record details

NPI number1710393095
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 7, 2014
Last updated in NPPESJuly 7, 2014

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