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DR. ROBERT GERALD MULL JR. D.D.S.
NPI 1639394000
Dentist in Grand Rapids, MI

Active since April 13, 2007PECOS Enrolled
3935 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534(616) 453-7755 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Gerald Mull Jr. D.d.s. NPPES

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

DR. ROBERT GERALD MULL JR. D.D.S. (NPI 1639394000) is an individual dentist in Grand Rapids, Michigan, licensed in Michigan (17685) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639394000
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROBERT GERALD MULL JR.Credential: D.D.S.
Location Address3935 LAKE MICHIGAN DR NWGrand Rapids, MI 49534-7844
Mailing Address1698 Bristol Ridge Dr . NwGrand Rapids, MI 49544 · (616) 453-7471
Phone(616) 453-7755
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639394000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 17685
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.
3935 LAKE MICHIGAN DR NW, Grand Rapids, MI 49534
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Robert Gerald Mull Jr. D.d.s. 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 49534 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 3

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

DANIEL A ARSULOWICZ O.D.
Eyewear Supplier
3935 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8223
ARSULOWICZ EYE CARE LLC
Optometrist
3935 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8223
DR. DANIEL ANTHONY ARSULOWICZ O.D.
Optometrist
3935 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 453-8223

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 Robert Mull's NPI number?

The NPI number for Robert Mull is 1639394000. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Robert Mull located?

Robert Mull practices at 3935 Lake Michigan Dr NW, Grand Rapids, MI 49534. The listed phone number is (616) 453-7755.

What is Robert Mull's specialty?

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

Is Robert Mull enrolled in Medicare?

Yes. Robert Mull is registered in the Medicare PECOS enrollment system.

What insurance does Robert Mull accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Robert Mull 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 Robert Mull was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.