Wild, Alexandra Griffin
Wild, Alexandra Griffin is an individual health care provider with primary practice located at 169 Ashley Ave Rm 202 , Charleston SC 29425-8905. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Wild, Alexandra Griffin can be contacted via phone (843) 792-7365.Contact Information
Primary practice address
169 Ashley Ave Rm 202
Charleston SC 29425-8905
Phone: (843) 792-7365
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D14619 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Pediatric Dentistry | 1223P0221X | DGD.10574 | South Carolina |
Profile Details
NPI number | 1316515307 |
---|---|
LBN Legal business name | Wild, Alexandra Griffin |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2021 |
Last updated | Feb 25th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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