FRESH COAST PEDIATRIC DENTISTRY
NPI 1629982939
Clinic/Center - Dental in Grand Rapids, MI
About Fresh Coast Pediatric Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH COAST PEDIATRIC DENTISTRY (NPI 1629982939) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since October 2026. The organization lists Taryn Weil, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49544
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 Fresh Coast Pediatric Dentistry's NPI number?
The NPI number for Fresh Coast Pediatric Dentistry is 1629982939. It was assigned to this organization in the NPPES registry on October 1, 2026.
Where is Fresh Coast Pediatric Dentistry located?
Fresh Coast Pediatric Dentistry is located at 933 3 Mile Rd NW Ste 102, Grand Rapids, MI 49544. The listed phone number is (616) 606-3811.
What is Fresh Coast Pediatric Dentistry's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Fresh Coast Pediatric Dentistry was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Fresh Coast Pediatric Dentistry · NPI 1629982939
Dental organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since October 1, 2026.
## Identity
- **NPI:** 1629982939 (Entity type: Organization)
- **Enumerated:** October 1, 2026
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Taryn Weil, OWNER
## Practice location
- **Address:** 933 3 MILE RD NW STE 102, Grand Rapids, MI 49544-1673
- **Phone:** (616) 606-3811
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629982939) · Data from the CMS NPPES public registry.