Individual provider · Type 1 NPI

Jerry Burgess Mulder Jr., DDS PLC

Dentist · Grand Rapids, MI

NPI number 1104943398 Active

Practice location

515 Michigan St NE, Suite 202
Grand Rapids, MI 49503-5721

Call (616) 458-0631 Map

Fax (616) 458-4065

Mailing address

515 Michigan St, Suite 202
Grand Rapids, MI 49503

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD126890 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104943398

Jerry Burgess Mulder Jr., DDS PLC's National Provider Identifier is 1104943398, issued on Mar 23, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2015.