What is Wild Smiles Pediatric Dentistry LLC's NPI number?

Wild Smiles Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1639472673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Wild Smiles Pediatric Dentistry LLC?

Wild Smiles Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).

Where is Wild Smiles Pediatric Dentistry LLC located?

Wild Smiles Pediatric Dentistry LLC's practice location on file with NPPES is 1189 Vann Drive, Jackson, TN 38305.

What is Wild Smiles Pediatric Dentistry LLC's phone number?

The practice phone number listed in the NPPES registry for Wild Smiles Pediatric Dentistry LLC is (731) 286-1271.

Who is the authorized official for Wild Smiles Pediatric Dentistry LLC?

The authorized official listed on Wild Smiles Pediatric Dentistry LLC's NPPES record is Charles Hughes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Wild Smiles Pediatric Dentistry LLC's NPI active?

Yes — Wild Smiles Pediatric Dentistry LLC's NPI (1639472673) is active in the NPPES registry as of the last update on 2012-07-24.

OrganizationActive

Wild Smiles Pediatric Dentistry LLC

NPI 1639472673 · Pediatric Dentistry · Jackson, TN

Wild Smiles Pediatric Dentistry LLC is a Pediatric Dentistry organization in Jackson, TN (NPI 1639472673).

Provider details

NPI number: 1639472673
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Organization subpart: No
Authorized official: Charles Hughes, Owner(731) 286-1271
License: 4788 (TN)

Practice location

1189 Vann Drive

Jackson, TN 38305

Phone: (731) 286-1271

Fax: (731) 286-0019

Street-level locationGet directions

More TN providers

Mailing address

1189 Vann Drive

Jackson, TN 38305

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 4788 (TN)
Dental Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2010-12-14
Last updated: 2012-07-24

Frequently asked questions

What is Wild Smiles Pediatric Dentistry LLC's NPI number?: Wild Smiles Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1639472673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Wild Smiles Pediatric Dentistry LLC?: Wild Smiles Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
Where is Wild Smiles Pediatric Dentistry LLC located?: Wild Smiles Pediatric Dentistry LLC's practice location on file with NPPES is 1189 Vann Drive, Jackson, TN 38305.
What is Wild Smiles Pediatric Dentistry LLC's phone number?: The practice phone number listed in the NPPES registry for Wild Smiles Pediatric Dentistry LLC is (731) 286-1271.
Who is the authorized official for Wild Smiles Pediatric Dentistry LLC?: The authorized official listed on Wild Smiles Pediatric Dentistry LLC's NPPES record is Charles Hughes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Wild Smiles Pediatric Dentistry LLC's NPI active?: Yes — Wild Smiles Pediatric Dentistry LLC's NPI (1639472673) is active in the NPPES registry as of the last update on 2012-07-24.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions