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GAINES PEDIATRIC DENTISTRY PLLC
NPI 1306213814
Dentist - Pediatric Dentistry in Grand Rapids, MI

Active since September 01, 2015
1559 68TH ST SE, GRAND RAPIDS, MI 49508(616) 258-2005 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaines Pediatric Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAINES PEDIATRIC DENTISTRY PLLC (NPI 1306213814) is a healthcare organization registered as a pediatric dentistry in Grand Rapids, Michigan and active in the NPI registry since September 2015. The organization lists Daniel Ocallaghan, Member, as its authorized official.

NPPES Registry Identity

NPI1306213814
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGAINES PEDIATRIC DENTISTRY PLLC
Location Address1559 68TH ST SEGrand Rapids, MI 49508-7015
Mailing Address1100 Giddings Ave SeGrand Rapids, MI 49506-3255
Phone(616) 258-2005
Organization SubpartNo
Authorized OfficialDaniel OcallaghanMember · (616) 375-7467
Enumeration DateSeptember 1, 2015
✔ NPI 1306213814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1559 68TH ST SE, Grand Rapids, MI 49508
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL O'CALLAGHAN DDS
Dentist (Pediatric Dentistry)
1559 68TH ST SE, SUITE A
GRAND RAPIDS, MI 49508
Kent County (616) 258-2005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaines Pediatric Dentistry PLLC's NPI number?

The NPI number for Gaines Pediatric Dentistry PLLC is 1306213814. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Gaines Pediatric Dentistry PLLC located?

Gaines Pediatric Dentistry PLLC is located at 1559 68th St SE, Grand Rapids, MI 49508. The listed phone number is (616) 258-2005.

What is Gaines Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gaines Pediatric Dentistry PLLC was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.