Organization · Type 2 NPI

Wild Smiles, LLC

Pediatric Dentistry · Lexington, SC

NPI number 1295920346 Active

Practice location

203 North Lake Drive
Lexington, SC 29072

Fax (803) 359-7542

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XSC3351 (SC)
Pediatric Dentistry 1223P0221X3351 (SC)

Pediatric Dentistry: 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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About NPI 1295920346

Wild Smiles, LLC's National Provider Identifier is 1295920346, issued on Sep 12, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lexington, SC. The record was last updated on Dec 16, 2010.