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 provides 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 Not confirmed with CMS for 14 years — call before visiting
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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