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Dr. Alexandra Griffin Wild, DDS
Pediatric Dentist in Charleston, South Carolina
NPI 1316515307

Alexandra Griffin Wild is a Pediatric Dentist based in Mendota Heights, SC and is specialized in Pediatric Dentistry. Alexandra Griffin Wild practices in Charleston, SC and has the professional credentials of DDS. The NPI Number for Alexandra Griffin Wild is 1316515307 and holds a License No. D14619 (South Carolina).

The current practice location address for Alexandra Griffin Wild is 169 Ashley Ave Rm 202, Charleston, SC and can be reached out via phone at 843-792-7365.

Location: 169 Ashley Ave Rm 202, Charleston, SC, 55118-1750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316515307
Provider Name
Alexandra Griffin Wild
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
169 Ashley Ave Rm 202, Charleston, SC, 55118-1750
Phone Number
843-792-7365
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
169 Ashley Ave Rm 202
City
Charleston
State
South Carolina
Zip
29425-8905
Phone Number
843-792-7365
Fax Number
person
Provider Business Mailing Address Details
Address
169 Ashley Ave Rm 202
City
Charleston
State
South Carolina
Zip
29425-8905
Phone Number
843-792-7365
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DGD.10574 (South Carolina)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D14619 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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