DR. EVAN DAVID OUDERKIRK DDS
NPI 1790308492
Dentist - General Practice in Grand Ledge, MI

Active since May 28, 2020
11970 SWEETWATER DR, GRAND LEDGE, MI 48837(517) 627-2470 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, May 28, 2020 (2 updates tracked since 2020).

About Dr. Evan David Ouderkirk Dds NPPES

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

DR. EVAN DAVID OUDERKIRK DDS (NPI 1790308492) is an individual general practice provider in Grand Ledge, Michigan, licensed in Michigan (2901600514APP20) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1790308492
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EVAN DAVID OUDERKIRKCredential: DDS
Location Address11970 SWEETWATER DRGrand Ledge, MI 48837-8199
Mailing Address1028 Grenoble CirLansing, MI 48917-4811
Sole ProprietorNo
Enumeration DateMay 28, 2020
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1790308492 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 · 2901600514APP20
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.
11970 SWEETWATER DR, Grand Ledge, MI 48837

Accepted Insurance

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.

Dentist (General Practice)
11970 SWEETWATER DR
GRAND LEDGE, MI 48837
Clinic/Center (Dental)
11970 SWEETWATER DR
GRAND LEDGE, MI 48837
Dentist
11970 SWEETWATER DR
GRAND LEDGE, MI 48837

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 Evan Ouderkirk's NPI number?

The NPI number for Evan Ouderkirk is 1790308492. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Evan Ouderkirk located?

Evan Ouderkirk practices at 11970 Sweetwater Dr, Grand Ledge, MI 48837. The listed phone number is (517) 627-2470.

What is Evan Ouderkirk's specialty?

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

What insurance does Evan Ouderkirk accept?

Health plans from Delta Dental of Michigan list Evan Ouderkirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Ouderkirk was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.