TYLER ANDREW WOLF (NPI# 1831277136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831277136 |
| Entity Type | Individual |
| Full Name | TYLER ANDREW WOLF |
| Credential | DDS |
| Practice Address |
7678 Cottonwood Dr Jenison MI 49428 |
| Practice Telephone | 6164574600 |
| Practice Fax Number | 6164576021 |
| Mailing Telephone | 6164574600 |
| Mailing Fax Number | 6164576021 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901017916 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 1367809 | 01 |
| Street Address |
7678 COTTONWOOD DR |
| City | JENISON |
| State | MI |
| Zip Code | 49428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891246542 | Lauren Elyse Puckett | Counselor | 7678 Cottonwood Dr, Jenison, MI 49428 | 2016-10-18 |
| 1457805616 | Audrey Aukeman | Counselor | 7678 Cottonwood Dr, Jenison, MI 49428-7312 | 2016-08-05 |
| 1255404992 | Georgetown Family & Cosmetic Dentistry Plc | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| 1477508174 | David John Estefan | Chiropractor | 1838 Baldwin St., Jenison, MI 49428 | 2006-05-23 |
| Find all providers in zip 49428 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235667874 | Alex Jay Vanoverloop | Dentist | 1915 Georgetown Center Dr Ste 101, Jenison, MI 49428-7121 | 2017-05-26 |
| 1326334897 | Meghan Dubois Condit | Dentist | 7758 20th Ave, Jenison, MI 49428-8524 | 2011-06-23 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| 1851311807 | Steven M Hall | Dentist | 1915 Georgetown Center Dr, Suite 101, Jenison, MI 49428-7121 | 2006-07-20 |
| 1073008975 | Joann Lee | Dentist | 597 Baldwin St, Jenison, MI 49428-7994 | 2018-06-25 |
| 1073961868 | Matthew Paul Borst | Dentist | 1895 Georgetown Center Dr, Jenison, MI 49428-7137 | 2016-06-02 |
| 1831592344 | Breanna Powell | Dentist | 2076 Baldwin St, Jenison, MI 49428-8772 | 2014-09-29 |
| 1265700025 | Katherine Vander Wal | Dentist | 7706 Georgetown Center Dr, Jenison, MI 49428-7144 | 2011-12-08 |
| 1841583838 | Aaron Samuel Clark | Dentist | 1915 Georgetown Center Dr, Suite 101, Jenison, MI 49428-7121 | 2011-05-24 |
| 1104078906 | Anupama Vurugonda | Dentist | 2064 Baldwin St, Jenison, MI 49428-8773 | 2008-10-13 |
| Find all providers in JENISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.