Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Child Orthodontics

Organization Dental Clinic/Center · NPI 1972296481

Wild Child Orthodontics is a Dental Clinic/Center in Lakeville, Minnesota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

17677 Cedar Ave
Lakeville, MN 55044-2250
Phone: (952) 903-9484
Fax: (952) 941-7091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1972296481
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Wild — Doctor · (952) 903-9484
Other names Veil & Wild Orthodontics
NPI enumeratedMay 31, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address11800 Singletree Ln Ste 200, Eden Prairie, MN 55344-5397

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