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A LIFE OF SMILES
NPI 1841694387
Dentist - General Practice in Grand Rapids, MI

Active since October 13, 2014
515 MICHIGAN ST NE STE 202, GRAND RAPIDS, MI 49503(616) 458-0631(616) 458-4065 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About A Life Of Smiles NPPES

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

A LIFE OF SMILES (NPI 1841694387) is a healthcare organization registered as a general practice in Grand Rapids, Michigan and active in the NPI registry since October 2014. The organization lists Jerry B Mulder, Doctor, as its authorized official.

NPPES Registry Identity

NPI1841694387
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJERRY B. MULDER DDS PLC
Location Address515 MICHIGAN ST NE STE 202Grand Rapids, MI 49503-5721
Mailing Address515 Michigan St Ne Ste 202Grand Rapids, MI 49503-5721 · (616) 458-0631 · Fax (616) 458-4065
Phone(616) 458-0631
Fax(616) 458-4065
Organization SubpartNo
Authorized OfficialJerry B MulderDoctor · (616) 458-0631
Enumeration DateOctober 13, 2014
Last NPPES UpdateOctober 22, 2014
✔ NPI 1841694387 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 · 2901012689
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.

515 MICHIGAN ST NE STE 202, Grand Rapids, MI 49503
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Other Names 1

Doing Business AsA Life Of Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WEST SIDE DENTAL PC
Dentist (General Practice)
515 MICHIGAN ST NE STE 202
GRAND RAPIDS, MI 49503
Kent County (616) 453-5331

Frequently Asked Questions

What is JERRY B. MULDER DDS PLC's NPI number?

The NPI number assigned to this healthcare provider is 1841694387, enumerated as an "organization" on October 13, 2014.

Where is the provider located?

The provider is located at 515 MICHIGAN ST NE STE 202 GRAND RAPIDS, MI 49503 and the phone number is (616) 458-0631.

What is the provider's specialty?

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