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Wild Smiles, Llc
Pediatric Dentist in Lexington, South Carolina
NPI 1295920346

Wild Smiles, Llc is a Pediatric Dentist based in Lexington, SC and is specialized in Pediatric Dentistry. Wild Smiles, Llc practices in Lexington, SC. The NPI Number for Wild Smiles, Llc is 1295920346 and holds a License No. SC3351 (South Carolina).

The current practice location address for Wild Smiles, Llc is 203 North Lake Drive, Lexington, SC and can be reached out via phone at 803-356-1606 and via fax at 803-359-7542.

Location: 203 North Lake Drive, Lexington, SC, 29072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295920346
Provider Name
Wild Smiles, Llc
Credential
Provider Entity Type
Organization
Address
203 North Lake Drive, Lexington, SC, 29072
Phone Number
803-356-1606
Fax Number
803-359-7542
Provider Enumeration Date
09/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720106610 01 SC NPI
1275696023 01 SC NPI
ZX3864 05 SC
Z33517 05 SC
institution
Provider Business Practice Location Address Details
Address
203 North Lake Drive
City
Lexington
State
South Carolina
Zip
29072
Phone Number
803-356-1606
Fax Number
803-359-7542
person
Provider Business Mailing Address Details
Address
203 North Lake Drive
City
Lexington
State
South Carolina
Zip
29072
Phone Number
803-356-1606
Fax Number
803-359-7542
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
SC3351 (South Carolina)
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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