Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. RICHARD COY WUNDERLICH DDS, MS
NPI 1083657589
Dentist - Periodontics in Canton, MI

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

Active since June 13, 2006PECOS Enrolled

42301 CHERRY HILL RD, SUITE A, CANTON, MI 48188(734) 981-7477(734) 981-0328 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Richard Coy Wunderlich Dds, Ms NPPES

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

DR. RICHARD COY WUNDERLICH DDS, MS (NPI 1083657589) is an individual periodontics provider in Canton, Michigan, licensed in Michigan (11652) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083657589

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. RICHARD COY WUNDERLICHCredential: DDS, MS

Location Address42301 CHERRY HILL RD, SUITE ACanton, MI 48188-9801

Mailing Address42301 Cherry Hill Rd, Suite ACanton, MI 48188-9801 · (734) 981-7477 · Fax (734) 981-0328

Phone(734) 981-7477

Fax(734) 981-0328

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1083657589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MI · 11652

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

42301 CHERRY HILL RD, Canton, MI 48188

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Coy Wunderlich Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.