1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Dentist
  6. NPI Profile

LARRY WILDT D.D.S
NPI 1780775130
Dentist - General Practice in Grand Rapids, MI

Active since September 28, 2006
2515 ALPINE AVE NW, SUITE A, GRAND RAPIDS, MI 49544(616) 364-9348(616) 364-5950 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larry Wildt D.d.s NPPES

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

LARRY WILDT D.D.S (NPI 1780775130) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (11365) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1780775130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLARRY WILDTCredential: D.D.S
Location Address2515 ALPINE AVE NW, SUITE AGrand Rapids, MI 49544-1924
Mailing Address1344 Winterwood Dr NeGrand Rapids, MI 49525-3441 · (616) 364-9348 · Fax (616) 364-5950
Phone(616) 364-9348
Fax(616) 364-5950
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780775130 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 · 11365
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.

2515 ALPINE AVE NW, Grand Rapids, MI 49544
Open in Google Maps ↗

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.

DR. JEFFREY W STACHEL D.D.S.
Dentist (General Practice)
2515 ALPINE AVE NW, SUITE A
GRAND RAPIDS, MI 49544
Kent County (616) 364-9348
DR. NICOLE I MILLER D.D.S
Dentist (General Practice)
2515 ALPINE AVE NW, SUITE A
GRAND RAPIDS, MI 49544
Kent County (616) 364-9348
KENT FAMILY DENTAL CARE
Dentist (General Practice)
2515 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 364-9348

Frequently Asked Questions

What is Larry Wildt's NPI number?

The NPI number assigned to this healthcare provider is 1780775130, enumerated as an "individual" on September 28, 2006.

Where is the provider located?

The provider is located at 2515 ALPINE AVE NW SUITE A GRAND RAPIDS, MI 49544 and the phone number is (616) 364-9348.

What is the provider's specialty?

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