IndividualActive
Alexandra Wild, DDS
NPI 1316515307 · Pediatric Dentistry · Charleston, SC
Provider details
- NPI number
- 1316515307
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D14619 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 792-7365
Approximate (ZIP-level) locationGet directions
Mailing address
1292 Aspen Way
Mendota Heights, MN 55118-1750
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2024-02-25
- Certified
- 2024-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.