Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaines Pediatric Dentistry PLLC

Organization Pediatric Dentistry · NPI 1306213814

Gaines Pediatric Dentistry PLLC is a Pediatric Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1559 68th St SE
Grand Rapids, MI 49508-7015
Phone: (616) 258-2005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1306213814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Ocallaghan — Member · (616) 375-7467
NPI enumeratedSeptember 1, 2015
Last updated in NPPESSeptember 1, 2015
Mailing address1100 Giddings Ave Se, Grand Rapids, MI 49506-3255

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