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DR. KENT RAYMOND WILDERN DDS
NPI 1679623813
Dentist - General Practice in Grand Rapids, MI

Active since January 11, 2007
4701 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 364-8716(616) 364-8829 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kent Raymond Wildern Dds NPPES

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

DR. KENT RAYMOND WILDERN DDS (NPI 1679623813) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (12606) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1679623813
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENT RAYMOND WILDERNCredential: DDS
Location Address4701 PLAINFIELD AVE NEGrand Rapids, MI 49525-1644
Mailing Address4701 Plainfield Ave NeGrand Rapids, MI 49525-1644 · (616) 364-8716 · Fax (616) 364-8829
Phone(616) 364-8716
Fax(616) 364-8829
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1679623813 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 · 12606
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.
4701 PLAINFIELD AVE NE, Grand Rapids, MI 49525
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Other Providers at the Same Location NPPES 8

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

MARY BETH CHILD LLP
Psychologist (Cognitive & Behavioral)
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 361-3398
JOSHUA PALMATEER DMD AND KATELYN PALMATEER DMD, PLLC
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-8716
SHANNON LEIGH MILLER LMSW
Social Worker (Clinical)
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 361-3398
DR. MY THI LIEN PH.D.
Psychologist
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 361-3365
KARA LILLY MA, LLPC
Counselor (Mental Health)
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 425-9331
KENT R WILDERN DDS PC
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-8716
PSYCHOLOGY SOLUTIONS, LLC
Psychologist
4701 PLAINFIELD AVE NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 361-3398
GRAND RAPIDS FAMILY DENTISTRY
Clinic/Center (Dental)
4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-8716

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 Kent Wildern's NPI number?

The NPI number for Kent Wildern is 1679623813. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Kent Wildern located?

Kent Wildern practices at 4701 Plainfield Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-8716.

What is Kent Wildern'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 Kent Wildern was last updated on July 9, 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.