Kenneth J Mulder in Grand Rapids - Oral And Maxillofacial Surgery

Kenneth J Mulder - NPI 1982796447

Kenneth J Mulder is a Oral And Maxillofacial Surgery in Grand Rapids, Michigan. Kenneth J Mulder practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth J Mulder is 1982796447. The last update date is 2018-03-17.

Kenneth J Mulder's current location address is 2144 E Paris Ave Se Ste 150, Grand Rapids, Michigan. You can contact this provider via phone number 6169422000. The mailing address for Kenneth J Mulder is 2144 E Paris Ave Se Ste 150, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth J Mulder
Address 2144 E Paris Ave Se Ste 150, Grand Rapids, Michigan
Phone Number 6169422000
Fax Number
Sole Proprietor N
Credentials DDS,MS

NPI Number Detail

NPI Number 1982796447
Provider Enumeration Date 2006-09-29
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 2144 E Paris Ave Se Ste 150
City Grand Rapids
State Michigan (MI)
Post Code 495466126
Phone Number 6169422000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No KM011412
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Kenneth J Mulder

What is the unique 10-digit identification code issued to Kenneth J Mulder by the Centers for Medicare & Medicaid Services?

The Kenneth J Mulder has been assigned the NPI (National Provider Identifier) 1982796447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Kenneth J Mulder?

The Kenneth J Mulder is physically situated at 2144 E Paris Ave Se Ste 150, in the city of Grand Rapids, state of MI, with the postal code 495466126.

What is Kenneth J Mulder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth J Mulder is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Kenneth J Mulder receive its 1982796447 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth J Mulder was assigned its 1982796447 by the Centers for Medicare & Medicaid Services on 2006-09-29.

As of what date was the information regarding Kenneth J Mulder, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth J Mulder, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.

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