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

Larry Wildt, DDS

Individual provider General Practice Dentistry · NPI 1780775130

Larry Wildt, DDS is a General Practice Dentistry in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

2515 Alpine Ave NW Ste A
Grand Rapids, MI 49544-1924
Phone: (616) 364-9348
Fax: (616) 364-5950
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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 11365 (MI)

Record details

NPI number1780775130
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1344 Winterwood Dr Ne, Grand Rapids, MI 49525-3441

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