Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell Scott Vander Baan, DDS

Individual provider General Practice Dentistry · NPI 1548659550

Dr. Mitchell Scott Vander Baan, DDS is a General Practice Dentistry in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
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

3300 Grand Ridge Dr NE
Grand Rapids, MI 49525-7062
Phone: (616) 364-6490
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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 2901021199 (MI)

Record details

NPI number1548659550
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 14, 2015
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address1001 Brentwood Ct, Columbia, SC 29206-2871

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