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DR. NICOLE ANN WILDER DDS
NPI 1003501578
Dentist - General Practice in Plymouth, MI

Active since April 10, 2023
549 PROVINCETOWN LN, PLYMOUTH, MI 48170(810) 689-6261 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2023, Jun 20, 2023, Apr 10, 2023 (3 updates tracked since 2023).

About Dr. Nicole Ann Wilder Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE ANN WILDER DDS (NPI 1003501578) is an individual general practice provider in Plymouth, Michigan, licensed in Michigan (2901601845) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1003501578
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICOLE ANN WILDERCredential: DDS
Location Address549 PROVINCETOWN LNPlymouth, MI 48170-1050
Mailing Address549 Provincetown LnPlymouth, MI 48170-1050
Phone(810) 689-6261
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1003501578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901601845
Definition
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.
549 PROVINCETOWN LN, Plymouth, MI 48170
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wilder's NPI number?

The NPI number for Nicole Wilder is 1003501578. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Nicole Wilder located?

Nicole Wilder practices at 549 Provincetown Ln, Plymouth, MI 48170. The listed phone number is (810) 689-6261.

What is Nicole Wilder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nicole Wilder accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Nicole Wilder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Wilder was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.