WEST SIDE DENTAL PC NPI 1376999433

NPI Information

  • NPI: 1376999433
  • Provider Name: WEST SIDE DENTAL PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 515 MICHIGAN ST NE STE 202
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 453-5331

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NPI Details

WEST SIDE DENTAL PC is a general practice dentist in Grand Rapids, MI. The provider is 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. WEST SIDE DENTAL PC NPI is 1376999433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

515 MICHIGAN ST NE STE 202
GRAND RAPIDS, MI
ZIP 49503-721
Phone: (616) 453-5331
Fax: (616) 453-9235

The provider's authorized official is Allyson Burgess Mulder .
The authorized official title is Dentist and has the following contact phone number (616) 453-5331.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 6/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2901020749MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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