Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992093298 Individual Practitioner Male Practitioner

Dr. John Vander Kolk , DDS

Dentist - General Practice • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. John Vander Kolk, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grand Rapids, MI. Practice services are available at 15 ANDRE ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Andre St Se

Grand Rapids, MI 495073010

Telephone 6164758446
Fax 6164751272
Associated Practice Facility / Clinic
🏢 Exalta Health Facility NPI 1588840854

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901014158

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

13 Associated Practitioners
Nathanael Curtis , FNP-C

Nurse Practitioner

NPI 1073111407

Family Nurse Practitioner (Certified)

Dr. Raymond Fuller , MD

Internal Medicine - Cardiovascular Disease

NPI 1073836250

Doctor of Medicine (M.D.)

NPI 1184911836

Doctor of Medicine (M.D.)

Leigh Shoemaker , MS, PA-C

Physician Assistant - Medical

NPI 1225349657

Master of Science, Physician Assistant (Certified)

Ann Volk

Dental Hygienist

NPI 1255288775
Airy Garcia

Community Health Worker

NPI 1285594259

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2011

Registered at 15 ANDRE ST SE, GRAND RAPIDS, MI 495073010 (Tel: 6164758446)

📍
Updated Business Mailing Address July 20, 2011

Registered at 15 ANDRE ST SE, GRAND RAPIDS, MI 495073010 (Tel: 6164758446)

👤
Provider Name / Credentials Updated July 20, 2011

Recorded as JOHN VANDER KOLK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2011

Dentist (License #2901014158 in MI)

🟢
Initial NPI Registration & Enumeration July 20, 2011

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: 1992093298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2011
Last Update: July 20, 2011
Sole Proprietor: No

Mailing Address

15 Andre St Se

Grand Rapids, MI 495073010

Phone: 6164758446

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.