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Wild Smiles White Knoll Family Dentistry, Llc
Pediatric Dentist in Lexington, South Carolina
NPI 1730415092

Wild Smiles White Knoll Family Dentistry, Llc is a Pediatric Dentist based in Lexington, SC and is specialized in Pediatric Dentistry. Wild Smiles White Knoll Family Dentistry, Llc practices in Lexington, SC. The NPI Number for Wild Smiles White Knoll Family Dentistry, Llc is 1730415092 and holds a License No. SC3864 (South Carolina).

The current practice location address for Wild Smiles White Knoll Family Dentistry, Llc is 1767 S Lake Dr, Lexington, SC and can be reached out via phone at 803-356-1606 and via fax at 803-359-7542.

Location: 1767 S Lake Dr, Lexington, SC, 29073-6734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730415092
Provider Name
Wild Smiles White Knoll Family Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
1767 S Lake Dr, Lexington, SC, 29073-6734
Phone Number
803-356-1606
Fax Number
803-359-7542
Provider Enumeration Date
10/21/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1767 S Lake Dr
City
Lexington
State
South Carolina
Zip
29073-6734
Phone Number
803-356-1606
Fax Number
803-359-7542
person
Provider Business Mailing Address Details
Address
1767 S Lake Dr
City
Lexington
State
South Carolina
Zip
29073-6734
Phone Number
803-356-1606
Fax Number
803-359-7542
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
SC3351 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
SC3864 (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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