KENT R WILDERN DDS PC
NPI 1750803300
Clinic/Center - Dental in Grand Rapids, MI

NPI Status: Active since July 14, 2017

Contact Information

4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 364-8716
Fax: (616) 364-8716

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  • Organization
  • Clinic/Center
  • Dental

About KENT R WILDERN DDS PC

This page provides the complete NPI Profile along with additional information for Kent R Wildern Dds Pc, a provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1750803300 assigned on July 2017. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Kent Raymond Wildern Dds (Owner)

NPI
1750803300
Provider Name
KENT R WILDERN DDS PC
Entity Type
Organization
Location Address
4701 PLAINFIELD AVE NE GRAND RAPIDS, MI 49525
Location Phone
(616) 364-8716
Location Fax
(616) 364-8716
Mailing Address
4701 PLAINFIELD AVE NE GRAND RAPIDS, MI 49525
Mailing Phone
(616) 364-8716
Mailing Fax
(616) 364-8716
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-14-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License State
MI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENT RAYMOND WILDERN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(616) 364-8716

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750803300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100160630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 0 + 6 + 3 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750803300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679623813DR. KENT RAYMOND WILDERN DDS
Individual
Dentist (General Practice)4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
(616) 364-8716
1073722542 MARY BETH CHILD LLP
Individual
Psychologist (Cognitive & Behavioral)4701 PLAINFIELD AVE NE SUITE C
GRAND RAPIDS, MI 49525
(616) 361-3398
1265610422DR. MY THI LIEN PH.D.
Individual
Psychologist4701 PLAINFIELD AVE NE SUITE C
GRAND RAPIDS, MI 49525
(616) 361-3365
1780998906PSYCHOLOGY SOLUTIONS, LLC
Organization
Psychologist4701 PLAINFIELD AVE NE SUITE C
GRAND RAPIDS, MI 49525
(616) 361-3398
1316499841 KARA LILLY MA, LLPC
Individual
Counselor (Mental Health)4701 PLAINFIELD AVE NE SUITE C
GRAND RAPIDS, MI 49525
(616) 425-9331
1841801941GRAND RAPIDS FAMILY DENTISTRY
Organization
Clinic/Center (Dental)4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
(616) 364-8716
1114524881JOSHUA PALMATEER DMD AND KATELYN PALMATEER DMD, PLLC
Organization
Clinic/Center (Dental)4701 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525
(616) 364-8716
1154645349 SHANNON LEIGH MILLER LMSW
Individual
Social Worker (Clinical)4701 PLAINFIELD AVE NE SUITE C
GRAND RAPIDS, MI 49525
(616) 361-3398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750803300, enumerated in the NPI registry as an "organization" on July 14, 2017

The provider is located at 4701 Plainfield Ave Ne Grand Rapids, Mi 49525 and the phone number is (616) 364-8716

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on July 14, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.