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WILD CHILD ORTHODONTICS
NPI 1972296481
Clinic/Center - Dental in Lakeville, MN

Active since May 31, 2023
17677 CEDAR AVE, LAKEVILLE, MN 55044(952) 903-9484(952) 941-7091 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Child Orthodontics NPPES

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

WILD CHILD ORTHODONTICS (NPI 1972296481), doing business as Veil & Wild Orthodontics, is a healthcare organization registered as a dental in Lakeville, Minnesota and active in the NPI registry since May 2023. The organization lists Justin Wild, Doctor, as its authorized official.

NPPES Registry Identity

NPI1972296481
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWILD CHILD ORTHODONTICS
Location Address17677 CEDAR AVELakeville, MN 55044-2250
Mailing Address11800 Singletree Ln Ste 200Eden Prairie, MN 55344-5397 · (952) 903-9484 · Fax (952) 941-7091
Phone(952) 903-9484
Fax(952) 941-7091
Organization SubpartNo
Authorized OfficialJustin WildDoctor · (952) 903-9484
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1972296481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
17677 CEDAR AVE, Lakeville, MN 55044
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Other Names 1

Doing Business AsVeil & Wild Orthodontics

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYDNEY GRACE MALONE FRENTZ DDS
Dentist (Pediatric Dentistry)
17677 CEDAR AVE
LAKEVILLE, MN 55044
Dakota County (952) 997-7100
DR. ANN M ZEYER DDS
Dentist (Pediatric Dentistry)
17677 CEDAR AVE
LAKEVILLE, MN 55044
Dakota County (336) 686-3684

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 Child Orthodontics's NPI number?

The NPI number for Wild Child Orthodontics is 1972296481. It was assigned to this organization in the NPPES registry on May 31, 2023. The provider is doing business as Veil & Wild Orthodontics.

Where is Wild Child Orthodontics located?

Wild Child Orthodontics is located at 17677 Cedar Ave, Lakeville, MN 55044. The listed phone number is (952) 903-9484.

What is Wild Child Orthodontics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Wild Child Orthodontics was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.