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

Wild Smiles Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1639472673

Wild Smiles Pediatric Dentistry LLC is a Pediatric Dentistry in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1189 Vann Dr
Jackson, TN 38305
Phone: (731) 286-1271
Fax: (731) 286-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4788 (TN)

Record details

NPI number1639472673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Hughes — Owner · (731) 286-1271
NPI enumeratedDecember 14, 2010
Last updated in NPPESJuly 24, 2012
Mailing address1189 Vann Drive, Jackson, TN 38305

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