Individual provider · Type 1 NPI

Alexandra Griffin Wild, DDS

Pediatric Dentistry · Charleston, SC

NPI number 1316515307 Active

Practice location

169 Ashley Ave Rm 202
Charleston, SC 29425-8905

Call (843) 792-7365 Map

Mailing address

1292 Aspen Way
Mendota Heights, MN 55118-1750

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD14619 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDGD.10574 (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 1316515307

Alexandra Griffin Wild, DDS's National Provider Identifier is 1316515307, issued on Jun 15, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Charleston, SC. The record was last updated on Feb 25, 2024.