DR. MITCHELL SCOTT VANDER BAAN D.D.S.
NPI 1548659550
Dentist - General Practice in Grand Rapids, MI

Active since January 14, 2015
3300 GRAND RIDGE DR NE, GRAND RAPIDS, MI 49525(616) 364-6490 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mitchell Scott Vander Baan D.d.s. NPPES

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

DR. MITCHELL SCOTT VANDER BAAN D.D.S. (NPI 1548659550) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (2901021199) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1548659550
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MITCHELL SCOTT VANDER BAANCredential: D.D.S.
Location Address3300 GRAND RIDGE DR NEGrand Rapids, MI 49525-7062
Mailing Address1001 Brentwood CtColumbia, SC 29206-2871 · (616) 446-3974
Sole ProprietorYes
Enumeration DateJanuary 14, 2015
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
NPI 1548659550 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 · 2901021199
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.
3300 GRAND RIDGE DR NE, Grand Rapids, MI 49525

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
3300 GRAND RIDGE DR NE
GRAND RAPIDS, MI 49525

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 Mitchell Vander Baan's NPI number?

The NPI number for Mitchell Vander Baan is 1548659550. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Mitchell Vander Baan located?

Mitchell Vander Baan practices at 3300 Grand Ridge Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-6490.

What is Mitchell Vander Baan's specialty?

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

What insurance does Mitchell Vander Baan accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Mitchell Vander Baan 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 Mitchell Vander Baan was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.