WEST SIDE DENTAL PC
NPI 1376999433
Dentist - General Practice in Grand Rapids, MI

Q: What is West Side Dental PC's NPI number?

The NPI number for West Side Dental PC is 1376999433. It was assigned to this organization in the NPPES registry on May 9, 2016.

Q: What is West Side Dental PC's specialty?

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

Active since May 09, 2016

515 MICHIGAN ST NE STE 202, GRAND RAPIDS, MI 49503(616) 453-5331(616) 453-9235 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About West Side Dental Pc NPPES

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

WEST SIDE DENTAL PC (NPI 1376999433) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since May 2016. The organization lists Allyson Burgess Mulder, Dentist, as its authorized official.

NPPES Registry Identity

NPI1376999433

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWEST SIDE DENTAL PC

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

Mailing Address515 Michigan St Ne Ste 202Grand Rapids, MI 49503-5721 · (616) 453-5331 · Fax (616) 453-9235

Phone(616) 453-5331

Fax(616) 453-9235

Organization SubpartNo

Authorized OfficialAllyson Burgess MulderDentist · (616) 453-5331

Enumeration DateMay 9, 2016

Last NPPES UpdateJune 8, 2016

✔ NPI 1376999433 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 · 2901020749

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.

515 MICHIGAN ST NE STE 202, Grand Rapids, MI 49503

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JERRY B. MULDER DDS PLC

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 West Side Dental PC's NPI number?

The NPI number for West Side Dental PC is 1376999433. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is West Side Dental PC located?

West Side Dental PC is located at 515 Michigan St NE Ste 202, Grand Rapids, MI 49503. The listed phone number is (616) 453-5331.

What is West Side Dental PC's specialty?

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

When was this NPI record last updated?

The NPPES record for West Side Dental PC was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.