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KENT R WILDERN DDS PC
NPI 1750803300
Clinic/Center - Dental in Grand Rapids, MI

Active since July 14, 2017
4701 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525(616) 364-8716(616) 364-8716 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

About Kent R Wildern Dds Pc NPPES

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

KENT R WILDERN DDS PC (NPI 1750803300) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since July 2017. The organization lists Kent Raymond Wildern, Owner, as its authorized official.

NPPES Registry Identity

NPI1750803300
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKENT R WILDERN DDS PC
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) 364-8716
Organization SubpartYes
Authorized OfficialKent Raymond WildernOwner · (616) 364-8716
Enumeration DateJuly 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1750803300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
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
DR. KENT RAYMOND WILDERN DDS
Dentist (General Practice)
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 R Wildern Dds PC's NPI number?

The NPI number for Kent R Wildern Dds PC is 1750803300. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Kent R Wildern Dds PC located?

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

What is Kent R Wildern Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kent R Wildern Dds PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.