Individual provider · Type 1 NPI
Kenneth J. Mulder, DDS, MS
Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI
NPI number
1982796447
Active
Practice location
2144 E Paris Ave SE Ste 150
Grand Rapids, MI 49546-6126
Other practice locations
- 3300 Burton St SE, Suite 101, Grand Rapids, MI 49546-4398 · (616) 942-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | KM011412 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Grand Rapids
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- Steven W. Schultz, DDSOral and Maxillofacial Surgery (Dentist) Grand Rapids, MI NPI 1316032139
- Mark Grinzinger, DDS, MDOral and Maxillofacial Surgery (Dentist) Grand Rapids, MI NPI 1376923623
- David R. Dalrymple, DDS, MDOral and Maxillofacial Surgery (Dentist) Grand Rapids, MI NPI 1427002377
- Brent James Dingman, DDSOral and Maxillofacial Surgery (Dentist) Grand Rapids, MI NPI 1518187806
- Christopher Marc Bulcher, DMDOral and Maxillofacial Surgery (Dentist) Grand Rapids, MI NPI 1528598992
About NPI 1982796447
Kenneth J. Mulder, DDS, MS's National Provider Identifier is 1982796447, issued on Sep 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 17, 2018.