IndividualActive
Larry Wildt, D.D.S
NPI 1780775130 · General Practice Dentistry · Grand Rapids, MI
Larry Wildt, D.D.S is a General Practice Dentistry provider in Grand Rapids, MI (NPI 1780775130).
Provider details
- NPI number
- 1780775130
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 11365 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2515 Alpine Ave Nw
Suite a
Grand Rapids, MI 49544-1924
Phone: (616) 364-9348
Fax: (616) 364-5950
Street-level locationGet directions
Mailing address
1344 Winterwood Dr Ne
Grand Rapids, MI 49525-3441
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Larry Wildt's NPI number?
- Larry Wildt's National Provider Identifier (NPI) is 1780775130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Wildt's specialty?
- Larry Wildt is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Larry Wildt located?
- Larry Wildt's practice location on file with NPPES is 2515 Alpine Ave Nw, Grand Rapids, MI 49544-1924.
- What is Larry Wildt's phone number?
- The practice phone number listed in the NPPES registry for Larry Wildt is (616) 364-9348.
- Is Larry Wildt's NPI active?
- Yes — Larry Wildt's NPI (1780775130) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.