Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548659550 Individual Practitioner Male Practitioner

Dr. Mitchell Scott Vander Baan , DDS

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Vander Baan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 3300 GRAND RIDGE DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3300 Grand Ridge Dr Ne

Grand Rapids, MI 495257062

Telephone 6163646490
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901021199

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1043480015

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 01, 2025

Registered at 3300 GRAND RIDGE DR NE, GRAND RAPIDS, MI 495257062 (Tel: 6163646490)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Dentist (License #2901021199 in MI)

NPI Profile Active January 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2015

Registered at 1001 BRENTWOOD CT, COLUMBIA, SC 292062871 (Tel: 6164463974)

📍
Updated Business Mailing Address January 14, 2015

Registered at 1001 BRENTWOOD CT, COLUMBIA, SC 292062871 (Tel: 6164463974)

👤
Provider Name / Credentials Updated January 14, 2015

Recorded as MITCHELL VANDER BAAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2015

Dentist (License #L273247 in MI)

🟢
Initial NPI Registration & Enumeration January 14, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548659550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2015
Last Update: April 01, 2025
Sole Proprietor: Yes

Mailing Address

1001 Brentwood Ct

Columbia, SC 292062871

Phone: 6164463974

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.