Mitchell Scott Vander Baan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021199 Issued in MI

Practice address

3300 Grand Ridge Dr NE
Grand Rapids, MI 49525-7062

Phone

(616) 364-6490

NPI assigned

Jan 14, 2015

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mitchell S Vander Baan DDS, PLLC

  dba VDental

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1780329482
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1548659550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRENTWOOD CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292062871",
            "telephone_number": "616-446-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GRAND RIDGE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257062",
            "telephone_number": "616-364-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER BAAN",
        "first_name": "MITCHELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Vandentoorn
• Jessica Lynn Vandentoorn, LMSW
• Michelle L. Vandentoorn
• Eric K Vandepol, MD
• Alainna Michelle Vander Ark, NNP
• Jennifer Lynn Vander Bos
• Susan Kim Vander Griend
• Lysandra Vander Hart, R.D.
• Donna Kay Vander Kodde, MA, LPC
• Jacob Scott Vander Kolk, LLPC

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.