WILSON DENTAL CARE GR PC
NPI 1598007379
Dentist - General Practice in Grand Rapids, MI

Active since March 20, 2013
4820 CASCADE RD SE STE A, GRAND RAPIDS, MI 49546(616) 454-1482(855) 536-4347 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About WILSON DENTAL CARE GR PC

This page provides the complete NPI Profile along with additional information for Wilson Dental Care Gr Pc, a provider established in Grand Rapids, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1598007379 assigned on March 2013. The practitioner's primary taxonomy code is 1223G0001X with license number 17948 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kathi A Wilson Dds (Owner)

NPI
1598007379 Verify this NPI
Provider Name
WILSON DENTAL CARE GR PC
Entity Type
Organization
Location Address
4820 CASCADE RD SE STE A GRAND RAPIDS, MI 49546
Location Phone
(616) 454-1482
Location Fax
(855) 536-4347
Mailing Address
4820 CASCADE RD SE STE A GRAND RAPIDS, MI 49546
Mailing Phone
(616) 454-1482
Mailing Fax
(855) 536-4347
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2013
Last Update Date
11-18-2025
Code Navigator

A dentist like Wilson Dental Care Gr Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
17948
License State
MI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KATHI A WILSON DDS

Authorized Official Title
OWNER
Authorized Official Phone
(616) 454-1482

Reviews for WILSON DENTAL CARE GR PC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598007379, enumerated as an "organization" on March 20, 2013.

The provider is located at 4820 CASCADE RD SE STE A GRAND RAPIDS, MI 49546 and the phone number is (616) 454-1482.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.