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Gaines Pediatric Dentistry Pllc
Pediatric Dentist in Grand Rapids, Michigan
NPI 1306213814

Gaines Pediatric Dentistry Pllc is a Pediatric Dentist based in Grand Rapids, MI and is specialized in Pediatric Dentistry. Gaines Pediatric Dentistry Pllc practices in Grand Rapids, MI. The NPI Number for Gaines Pediatric Dentistry Pllc is 1306213814 and holds a License No. (Michigan).

The current practice location address for Gaines Pediatric Dentistry Pllc is 1559 68Th St Se, Grand Rapids, MI and can be reached out via phone at 616-258-2005.

Location: 1559 68Th St Se, Grand Rapids, MI, 49506-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306213814
Provider Name
Gaines Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
1559 68Th St Se, Grand Rapids, MI, 49506-3255
Phone Number
616-258-2005
Fax Number
Provider Enumeration Date
09/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1559 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49508-7015
Phone Number
616-258-2005
Fax Number
person
Provider Business Mailing Address Details
Address
1559 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49508-7015
Phone Number
616-258-2005
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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.
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