Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WILSON DENTAL CARE GR PC
Active
Organization
WILSON DENTAL CARE GR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHI A WILSON DDS (OWNER)
(616) 454-1482
Entity
Organization
Contact information
Practice address
4820 CASCADE RD SE STE A, GRAND RAPIDS, MI 49546-3785
(616) 454-1482
(855) 536-4347
Mailing address
4820 CASCADE RD SE STE A, GRAND RAPIDS, MI 49546-3785
(616) 454-1482
(855) 536-4347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17948
MI
Other
Enumeration date
03/20/2013
Last updated
11/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up