DR. JERRY BURGESS MULDER JR. DDS PLC
NPI 1104943398
Dentist in Grand Rapids, MI

Q: What is Jerry Mulder's NPI number?

The NPI number for Jerry Mulder is 1104943398. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Jerry Mulder's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Mulder was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 23, 2007

515 MICHIGAN ST NE, SUITE 202, GRAND RAPIDS, MI 49503(616) 458-0631(616) 458-4065 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jerry Burgess Mulder Jr. Dds Plc NPPES

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

DR. JERRY BURGESS MULDER JR. DDS PLC (NPI 1104943398) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (D126890) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104943398

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JERRY BURGESS MULDER JR.Credential: DDS PLC

Location Address515 MICHIGAN ST NE, SUITE 202Grand Rapids, MI 49503-5721

Mailing Address515 Michigan St, Suite 202Grand Rapids, MI 49503 · (616) 458-0631 · Fax (616) 458-4065

Phone(616) 458-0631

Fax(616) 458-4065

Sole ProprietorNo

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 8, 2015

✔ NPI 1104943398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · D126890

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

515 MICHIGAN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN L SALERNO MA LLP

Psychologist (Counseling)

515 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 299-7184

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Physical Therapy)

515 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 451-2069

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Obstetrics & Gynecology

515 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 458-7591

NORTHERN ONCOLOGY SERVICES PLLC

Specialist

515 MICHIGAN ST NE, SUITE 301
GRAND RAPIDS, MI 49503

Kent County (616) 456-8115

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Internal Medicine (Infectious Disease)

515 MICHIGAN ST NE, SUITE 202
GRAND RAPIDS, MI 49503

Kent County (616) 774-2822

MICHIGAN CENTER FOR TMJ SLEEP DISORDERS

Dentist (General Practice)

515 MICHIGAN ST NE, STE 202
GRAND RAPIDS, MI 49503

Kent County (616) 458-0631

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 Jerry Mulder's NPI number?

The NPI number for Jerry Mulder is 1104943398. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Jerry Mulder located?

Jerry Mulder practices at 515 Michigan St NE Suite 202, Grand Rapids, MI 49503. The listed phone number is (616) 458-0631.

What is Jerry Mulder's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jerry Mulder accept?

Health plans from Delta Dental of Michigan list Jerry Mulder 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 Jerry Mulder was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.