Larry Wildt is a General Practice in Grand Rapids, Michigan. Larry Wildt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larry Wildt is 1780775130. The last update date is 2007-07-08.
Larry Wildt's current location address is 1344 Winterwood Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163649348 and fax number 6163645950. The mailing address for Larry Wildt is 1344 Winterwood Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Wildt |
|---|---|
| Address | 1344 Winterwood Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163649348 |
| Fax Number | 6163645950 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1780775130 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1344 Winterwood Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495253441 |
| Phone Number | 6163649348 |
| Fax Number | 6163645950 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11365 |
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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. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Wildt by the Centers for Medicare & Medicaid Services?
The Larry Wildt has been assigned the NPI (National Provider Identifier) 1780775130 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Larry Wildt's facilities are geographically located?
The facilities of Larry Wildt are physically situated at the following location: 1344 Winterwood Dr Ne, Grand Rapids, MI, 495253441.
What is Larry Wildt's area of expertise and its corresponding taxonomy classification?
The Larry Wildt's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1780775130 to Larry Wildt?
The Centers for Medicare & Medicaid Services assigned the 1780775130 to Larry Wildt on 2006-09-28.
As of what date was the information pertaining to Larry Wildt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry Wildt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.