Organization · Type 2 NPI
Wild Smiles Pediatric Dentistry LLC
Pediatric Dentistry · Jackson, TN
NPI number
1639472673
Active
Practice location
1189 Vann Drive
Jackson, TN 38305
Fax (731) 286-0019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 4788 (TN) |
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.
Other pediatric dentistry providers in Jackson
About NPI 1639472673
Wild Smiles Pediatric Dentistry LLC's National Provider Identifier is 1639472673, issued on Dec 14, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, TN. The record was last updated on Jul 24, 2012.