Organization · Type 2 NPI

Wild Smiles White Knoll Family Dentistry, LLC

Pediatric Dentistry · Lexington, SC

NPI number 1730415092 Active

Practice location

1767 S Lake Dr, Suite # A
Lexington, SC 29073-6734

Fax (803) 359-7542

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XSC3864 (SC)
Pediatric Dentistry Primary 1223P0221XSC3351 (SC)
Pediatric Dentistry 1223P0221XSC3801 (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 1730415092

Wild Smiles White Knoll Family Dentistry, LLC's National Provider Identifier is 1730415092, issued on Oct 21, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lexington, SC. The record was last updated on Oct 21, 2009.