OrganizationActive
Kent R Wildern DDS PC
NPI 1750803300 · Dental Clinic/Center · Grand Rapids, MI
Kent R Wildern DDS PC is a Dental Clinic/Center organization in Grand Rapids, MI (NPI 1750803300).
Provider details
- NPI number
- 1750803300
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Kent R Wildern DDS PC
- Organization subpart
- Yes
- Authorized official
- Kent Wildern, Owner(616) 364-8716
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4701 Plainfield Ave Ne
Grand Rapids, MI 49525-1644
Phone: (616) 364-8716
Fax: (616) 364-8716
Approximate (ZIP-level) locationGet directions
Mailing address
4701 Plainfield Ave Ne
Grand Rapids, MI 49525-1644
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2022-07-21
Frequently asked questions
- What is Kent R Wildern DDS PC's NPI number?
- Kent R Wildern DDS PC's National Provider Identifier (NPI) is 1750803300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kent R Wildern DDS PC?
- Kent R Wildern DDS PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kent R Wildern DDS PC located?
- Kent R Wildern DDS PC's practice location on file with NPPES is 4701 Plainfield Ave Ne, Grand Rapids, MI 49525-1644.
- What is Kent R Wildern DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Kent R Wildern DDS PC is (616) 364-8716.
- Who is the authorized official for Kent R Wildern DDS PC?
- The authorized official listed on Kent R Wildern DDS PC's NPPES record is Kent Wildern, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kent R Wildern DDS PC's NPI active?
- Yes — Kent R Wildern DDS PC's NPI (1750803300) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.