JERRY B. MULDER DDS PLC


Address: 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721
Phone: 6164580631

JERRY B. MULDER DDS PLC (NPI# 1841694387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841694387
Entity Type Organization
Organization Name JERRY B. MULDER DDS PLC
Other Organization Name A LIFE OF SMILES
Practice Address 515 Michigan St Ne Ste 202
Grand Rapids
MI 49503-5721
Practice Telephone 6164580631
Practice Fax Number 6164584065
Mailing Telephone 6164580631
Mailing Fax Number 6164584065
Enumeration Date 2014-10-13
Last Update Date 2014-10-22
Authorized Official Name DR. JERRY B MULDER (DOCTOR)
Authorized Official Telephone 6164580631
Authorized Official Credential D.D.S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2901012689 MI Dental Providers

Other Provider/Organization Names

Other Name Type Code
A Life of Smiles Doing Business As Name - Organization

Office Location

Street Address 515 MICHIGAN ST NE STE 202
City GRAND RAPIDS
State MI
Zip Code 49503-5721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376999433 West Side Dental PC Dentist 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 2016-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265059570 Samuel T. Bander, Dds, Plc Dentist 1151 E Paris Ave Se Ste 100, Grand Rapids, MI 49546-8369 2020-07-02
1295360428 Dj Edgerle, Dds, PC Dentist 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 2020-03-09
1639638265 Mark E Peterson, Dds Dentist 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 2019-03-13
1811463730 Ryan C. Van Haren, Dds Pllc Dentist 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 2018-10-18
1386138881 Jayson Lynn Clore Dentist 334 68th St Sw, Grand Rapids, MI 49548-7179 2018-06-18
1154788230 Kb Family Dentistry Plc Dentist 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 2016-01-21
1821471616 Healthy Smile Plc Dentist 2021 44th St Sw, Grand Rapids, MI 49508 2015-06-30
1609277854 Alexis Neuman Dentist 3930 Burton St Se, Grand Rapids, MI 49546-5819 2014-09-08
1124439476 Bryton Mansfield Dentist 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 2014-05-08
1659709145 W Erick Rupprecht Dds Pllc Dentist 2554 Woodmeadow Dr Se Ste A, Grand Rapids, MI 49546-8033 2013-10-22
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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