WESTSIDE DENTAL PC
NPI 1669840559
Dentist - General Practice in Grand Rapids, MI

Active since September 09, 2015
2005 LEONARD ST NW, GRAND RAPIDS, MI 49504(616) 453-5331(616) 453-9235 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westside Dental Pc NPPES

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

WESTSIDE DENTAL PC (NPI 1669840559) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since September 2015. The organization lists Allyson B Mulder, Doctor, as its authorized official.

NPPES Registry Identity

NPI1669840559
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWESTSIDE DENTAL PC
Location Address2005 LEONARD ST NWGrand Rapids, MI 49504-3827
Mailing Address2005 Leonard St NwGrand Rapids, MI 49504-3827 · (616) 453-5331 · Fax (616) 453-9235
Fax(616) 453-9235
Organization SubpartNo
Authorized OfficialAllyson B MulderDoctor · (616) 453-5331
Enumeration DateSeptember 9, 2015
Last NPPES UpdateJune 7, 2016
NPI 1669840559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2005 LEONARD ST NW, Grand Rapids, MI 49504

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 2

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

Dentist
2005 LEONARD ST NW
GRAND RAPIDS, MI 49504
Dentist (General Practice)
2005 LEONARD ST NW
GRAND RAPIDS, MI 49504

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 Westside Dental PC's NPI number?

The NPI number for Westside Dental PC is 1669840559. It was assigned to this organization in the NPPES registry on September 9, 2015.

Where is Westside Dental PC located?

Westside Dental PC is located at 2005 Leonard St NW, Grand Rapids, MI 49504. The listed phone number is (616) 453-5331.

What is Westside 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 Westside Dental PC was last updated on June 7, 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.