# MICHIGAN CENTER FOR TMJ SLEEP DISORDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992234264
- **Authorized official:** DR. JERRY B MULDER JR. DDS (OWNER)
- **Authorized official phone:** (616) 458-0631

## Contact information

- **Practice address:** 515 MICHIGAN ST NE, STE 202, GRAND RAPIDS, MI 49503
- **Practice address phone:** (616) 458-0631
- **Mailing address:** 515 MICHIGAN ST NE STE 202, GRAND RAPIDS, MI 49503-5721
- **Mailing address phone:** (616) 458-0631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | MI | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022