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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC

Active Organization

WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC is a Pediatric Dentistry organization located in LEXINGTON, South Carolina. NPI 1730415092 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · LEXINGTON, SC

Registration Details

NPI Number
1730415092
Provider Type
Organization
NPI Issued
Oct 21, 2009 (16.818125000332 yrs)
Last Updated
Oct 21, 2009
Licenses
SC3864 (SC)
SC3801 (SC)
SC3351 (SC)

Practice Information

Address
1767 S LAKE DR
SUITE # A
LEXINGTON, SC, 290736734
Browse SC providers · Browse ZIP 29073
Phone
8033561606
Fax
8033597542
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.