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WILD SMILES, LLC
NPI 1295920346
Dentist - Pediatric Dentistry in Lexington, SC

Active since September 12, 2007
203 NORTH LAKE DRIVE, LEXINGTON, SC 29072(803) 356-1606(803) 359-7542 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wild Smiles, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD SMILES, LLC (NPI 1295920346), doing business as Pediatric Dental Of Lexington, is a healthcare organization registered as a pediatric dentistry in Lexington, South Carolina and active in the NPI registry since September 2007. The organization lists Donna M. Babcock, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1295920346
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWILD SMILES, LLC
Location Address203 NORTH LAKE DRIVELexington, SC 29072
Mailing Address203 North Lake DriveLexington, SC 29072 · (803) 356-1606 · Fax (803) 359-7542
Phone(803) 356-1606
Fax(803) 359-7542
Organization SubpartNo
Authorized OfficialDonna M. BabcockInsurance Coordinator · (803) 356-1606
Enumeration DateSeptember 12, 2007
Last NPPES UpdateDecember 16, 2010
✔ NPI 1295920346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in SC · SC3351✔ Licensed in SC · 3351
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.
203 NORTH LAKE DRIVE, Lexington, SC 29072
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Other Names 1

Former Legal Business NamePediatric Dental Of Lexington

Other Identifiers 4

Other1275696023SC · Npi
MedicaidZ33517SC
Other1720106610SC · Npi
MedicaidZX3864SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Smiles, LLC's NPI number?

The NPI number for Wild Smiles, LLC is 1295920346. It was assigned to this organization in the NPPES registry on September 12, 2007. The provider was formerly known as Pediatric Dental Of Lexington.

Where is Wild Smiles, LLC located?

Wild Smiles, LLC is located at 203 North Lake Drive, Lexington, SC 29072. The listed phone number is (803) 356-1606.

What is Wild Smiles, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Wild Smiles, LLC was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.