GRAND LEDGE FAMILY DENTISTRY, PLLC
NPI 1972199156
Dentist in Grand Ledge, MI

Q: What is Grand Ledge Family Dentistry, PLLC's NPI number?

The NPI number for Grand Ledge Family Dentistry, PLLC is 1972199156. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Kyle A. Mulder, DDS.

Q: What is Grand Ledge Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since December 11, 2020

416 E RIVER ST, GRAND LEDGE, MI 48837(517) 627-9081 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Grand Ledge Family Dentistry, Pllc NPPES

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

GRAND LEDGE FAMILY DENTISTRY, PLLC (NPI 1972199156), doing business as Kyle A. Mulder, Dds, is a healthcare organization registered as a dentist in Grand Ledge, Michigan and active in the NPI registry since December 2020. The organization lists Kyle Mulder, Owner, as its authorized official.

NPPES Registry Identity

NPI1972199156

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGRAND LEDGE FAMILY DENTISTRY, PLLC

Location Address416 E RIVER STGrand Ledge, MI 48837-1764

Mailing Address416 E River StGrand Ledge, MI 48837-1764 · (517) 627-9081

Phone(517) 627-9081

Organization SubpartNo

Authorized OfficialKyle MulderOwner · (517) 881-0561

Enumeration DateDecember 11, 2020

NPPES CertifiedDecember 11, 2020

✔ NPI 1972199156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

416 E RIVER ST, Grand Ledge, MI 48837

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Other Names 1

Doing Business AsKyle A. Mulder, Dds

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Ledge Family Dentistry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grand Ledge Family Dentistry, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Mulder, DDS

Dentist

NPI 1881201564

416 E RIVER ST
Grand Ledge, MI 48837

(517) 627-9081

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grand Ledge Family Dentistry, PLLC's NPI number?

The NPI number for Grand Ledge Family Dentistry, PLLC is 1972199156. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Kyle A. Mulder, DDS.

Where is Grand Ledge Family Dentistry, PLLC located?

Grand Ledge Family Dentistry, PLLC is located at 416 E River St, Grand Ledge, MI 48837. The listed phone number is (517) 627-9081.

What is Grand Ledge Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Grand Ledge Family Dentistry, PLLC enrolled in Medicare?

Yes. Grand Ledge Family Dentistry, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Ledge Family Dentistry, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Grand Ledge Family Dentistry, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grand Ledge Family Dentistry, PLLC was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.