WILD SMILES PEDIATRIC DENTISTRY LLC
NPI 1639472673
Dentist - Pediatric Dentistry in Jackson, TN

Q: What is Wild Smiles Pediatric Dentistry LLC's NPI number?

The NPI number for Wild Smiles Pediatric Dentistry LLC is 1639472673. It was assigned to this organization in the NPPES registry on December 14, 2010.

Q: What is Wild Smiles Pediatric Dentistry LLC's specialty?

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

Active since December 14, 2010

1189 VANN DRIVE, JACKSON, TN 38305(731) 286-1271(731) 286-0019 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wild Smiles Pediatric Dentistry Llc NPPES

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

WILD SMILES PEDIATRIC DENTISTRY LLC (NPI 1639472673) is a healthcare organization registered as a pediatric dentistry in Jackson, Tennessee and active in the NPI registry since December 2010. The organization lists Charles H Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1639472673

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameWILD SMILES PEDIATRIC DENTISTRY LLC

Location Address1189 VANN DRIVEJackson, TN 38305

Mailing Address1189 Vann DriveJackson, TN 38305 · (731) 300-0386 · Fax (731) 300-0519

Phone(731) 286-1271

Fax(731) 286-0019

Organization SubpartNo

Authorized OfficialCharles H HughesOwner · (731) 286-1271

Enumeration DateDecember 14, 2010

Last NPPES UpdateJuly 24, 2012

✔ NPI 1639472673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TN · 4788

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.

1189 VANN DRIVE, Jackson, TN 38305

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Pediatric Dentistry LLC's NPI number?

The NPI number for Wild Smiles Pediatric Dentistry LLC is 1639472673. It was assigned to this organization in the NPPES registry on December 14, 2010.

Where is Wild Smiles Pediatric Dentistry LLC located?

Wild Smiles Pediatric Dentistry LLC is located at 1189 Vann Drive, Jackson, TN 38305. The listed phone number is (731) 286-1271.

What is Wild Smiles Pediatric Dentistry 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 Pediatric Dentistry LLC was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.