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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENT R WILDERN DDS PC

Active Organization

Dental Clinic · GRAND RAPIDS, MI

Registration Details

NPI Number
1750803300
Provider Type
Organization
NPI Issued
Jul 14, 2017 (8.7899200681458 yrs)
Last Updated
Jul 21, 2022

Practice Information

Address
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI, 495251644
Browse MI providers · Browse ZIP 49525
Phone
6163648716
Fax
6163648716
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.