Individual provider · Type 1 NPI

Mark John Wierenga, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Grandville, MI

NPI number 1669119152 Active

Practice location

3131 44th St SW
Grandville, MI 49418-2684

Call (616) 301-8900 Map

Mailing address

4421 Penny Ln SW
Wyoming, MI 49418-9383

Other practice locations

2000 43rd St SE, Grand Rapids, MI 49508-8700 · (616) 301-8900

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	2901020872 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1669119152

Mark John Wierenga, DDS, MS's National Provider Identifier is 1669119152, issued on May 16, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Grandville, MI. The record was last updated on May 16, 2022.