Individual provider · Type 1 NPI

Kent Raymond Wildern, DDS

General Practice Dentistry · Grand Rapids, MI

NPI number 1679623813 Active

Practice location

4701 Plainfield Ave NE
Grand Rapids, MI 49525-1644

Call (616) 364-8716 Map

Fax (616) 364-8829

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12606 (MI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1679623813

Kent Raymond Wildern, DDS's National Provider Identifier is 1679623813, issued on Jan 11, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 9, 2007.