Pediatric Dental Of Lexington
LBN: Wild Smiles, Llc
Pediatric Dental Of Lexington is an health care organization with primary practice located at 203 North Lake Drive , Lexington SC 29072. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Wild Smiles, Llc can be contacted via phone (803) 356-1606, or through Babcock, Donna M. via phone (803) 356-1606.
Contact Information
Primary practice address
203 North Lake Drive
Lexington SC 29072
Phone: (803) 356-1606
Fax: (803) 359-7542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | SC3351 | South Carolina |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3351 | South Carolina |
Profile Details
| NPI number | 1295920346 |
|---|---|
| LBN Legal business name | Wild Smiles, Llc |
| DBA Doing business as | Pediatric Dental Of Lexington |
| Authorized official | Babcock, Donna M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Dec 16th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295920346 | NPPES |
| South Carolina | Other | 1720106610 | NPI |
| South Carolina | Other | 1275696023 | NPI |
| South Carolina | MEDICAID | ZX3864 | NPI |
| South Carolina | MEDICAID | Z33517 | NPI |
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