OrganizationActive
Wild Child Orthodontics
NPI 1972296481 · Dental Clinic/Center · Lakeville, MN
Wild Child Orthodontics is a Dental Clinic/Center organization in Lakeville, MN (NPI 1972296481).
Provider details
- NPI number
- 1972296481
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Wild, Doctor(952) 903-9484
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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.
Practice location
17677 Cedar Ave
Lakeville, MN 55044-2250
Phone: (952) 903-9484
Fax: (952) 941-7091
Approximate (ZIP-level) locationGet directions
Mailing address
11800 Singletree Ln Ste 200
Eden Prairie, MN 55344-5397
Other names (DBA / former)
- Doing business as
- Veil & Wild Orthodontics
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Frequently asked questions
- What is Wild Child Orthodontics's NPI number?
- Wild Child Orthodontics's National Provider Identifier (NPI) is 1972296481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Child Orthodontics?
- Wild Child Orthodontics is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wild Child Orthodontics located?
- Wild Child Orthodontics's practice location on file with NPPES is 17677 Cedar Ave, Lakeville, MN 55044-2250.
- What is Wild Child Orthodontics's phone number?
- The practice phone number listed in the NPPES registry for Wild Child Orthodontics is (952) 903-9484.
- Who is the authorized official for Wild Child Orthodontics?
- The authorized official listed on Wild Child Orthodontics's NPPES record is Justin Wild, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Child Orthodontics's NPI active?
- Yes — Wild Child Orthodontics's NPI (1972296481) is active in the NPPES registry as of the last update on 2023-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.