Individual provider · Type 1 NPI

Larry Wildt, D.D.S

General Practice Dentistry · Grand Rapids, MI

NPI number 1780775130 Active

Practice location

2515 Alpine Ave NW, Suite A
Grand Rapids, MI 49544-1924

Call (616) 364-9348 Map

Fax (616) 364-5950

Mailing address

1344 Winterwood Dr NE
Grand Rapids, MI 49525-3441

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	11365 (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.

3 other providers at this address

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About NPI 1780775130

Larry Wildt, D.D.S's National Provider Identifier is 1780775130, issued on Sep 28, 2006. 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 8, 2007.