Kent R Wildern Dds Pc

LBN: Kent R Wildern Dds Pc
Kent R Wildern Dds Pc is an health care organization with primary practice located at 4701 Plainfield Ave Ne , Grand Rapids MI 49525-1644. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kent R Wildern Dds Pc can be contacted via phone (616) 364-8716, or through Wildern, Kent Raymond via phone (616) 364-8716.

Contact Information

Primary practice address
4701 Plainfield Ave Ne Grand Rapids MI 49525-1644
Phone: (616) 364-8716
Fax: (616) 364-8716
Website:
Map and Directions
Authorized official contact:
Name: Wildern, Kent Raymond Doctor of Dental Surgery (DDS)
Phone: (616) 364-8716

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Michigan

Profile Details

NPI number 1750803300
LBN Legal business name Kent R Wildern Dds Pc
DBA Doing business as
Authorized official Wildern, Kent Raymond Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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