Mitchell S Vander Baan DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MITCHELL S VANDER BAAN DDS, PLLC

Doing business as

VDental

Practice address

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

Phone

(616) 364-6490

NPI assigned

Apr 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Scott Vander Baan, DDS

Title

Owner

Phone

(616) 364-6490

Specialties & licenses 1

Addresses

Other names 1

• VDental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Scott Vander Baan, D.D.S.

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1548659550
  NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1780329482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GRAND RIDGE DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257062",
            "telephone_number": "616-364-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GRAND RIDGE DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257062",
            "telephone_number": "616-364-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S VANDER BAAN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VANDER BAAN",
        "authorized_official_first_name": "DR. MITCHELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-364-6490",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren K Miskel
• Susan Missad, LMSW
• Mission Point of Forest Hills LLC
• Orlandria Kim Mister
• Christina Marie Mitcham, LMSW
• Abigail M Mitchell
• Ashlyn Nichole Mitchell
• Audrey M Mitchell, LMSW
• David Mitchell
• David Mitchell, M.D.

• 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.