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

Q: What is Larry Wildt's NPI number?

The NPI number for Larry Wildt is 1780775130. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Larry Wildt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Larry Wildt 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.

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: August 09, 2026.

On this page

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. 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

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

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 Larry Wildt's NPI number?

The NPI number for Larry Wildt is 1780775130. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Larry Wildt located?

Larry Wildt practices at 2515 Alpine Ave NW Suite A, Grand Rapids, MI 49544. The listed phone number is (616) 364-9348.

What is Larry Wildt'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 Larry Wildt 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.