# WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730415092
- **Authorized official:** DR. GUNJIT RICK SINGH D.M.D (OWNER)
- **Authorized official phone:** (803) 356-1606

## Contact information

- **Practice address:** 1767 S LAKE DR, SUITE \# A, LEXINGTON, SC 29073-6734
- **Practice address phone:** (803) 356-1606
- **Practice address fax:** (803) 359-7542
- **Mailing address:** 1767 S LAKE DR, SUITE \# A, LEXINGTON, SC 29073-6734
- **Mailing address phone:** (803) 356-1606
- **Mailing address fax:** (803) 359-7542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | SC3864 | SC | — |
| 1223P0221X | Pediatric Dentistry | SC3351 | SC | Yes |
| 1223P0221X | Pediatric Dentistry | SC3801 | SC | — |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 10/21/2009