Dr Alexandra Griffin Wild, DDS - Medicare Dentist in Charleston, SC

Dr Alexandra Griffin Wild, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Charleston, South Carolina. Her current practice location is 169 Ashley Ave Rm 202, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-7365.

Dr Alexandra Griffin Wild is licensed to practice in South Carolina (license number DGD.10574) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316515307.

Contact Information

Dr Alexandra Griffin Wild, DDS
169 Ashley Ave Rm 202,
Charleston, SC 29425-8905
(843) 792-7365
Not Available



Healthcare Provider's Profile

Full NameDr Alexandra Griffin Wild
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location169 Ashley Ave Rm 202, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316515307
  • Provider Enumeration Date: 06/15/2021
  • Last Update Date: 02/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416354352
  • Enrollment ID: I20210921000236

Medical Identifiers

Medical identifiers for Dr Alexandra Griffin Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316515307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D14619 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223P0221XDentist - Pediatric Dentistry DGD.10574 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alexandra Griffin Wild is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alexandra Griffin Wild, DDS
1292 Aspen Way,
Mendota Heights, MN 55118-1750

Ph: (651) 815-5678
Dr Alexandra Griffin Wild, DDS
169 Ashley Ave Rm 202,
Charleston, SC 29425-8905

Ph: (843) 792-7365

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› Verified 1 days ago


Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 92 Courtenay Dr, Charleston, SC 29403
Phone: 843-577-6112    Fax: 843-937-0200
Adam M Clark, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407
Phone: 843-769-0488    Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425
Phone: 843-792-1904    Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Charleston, SC 29425
Phone: 734-489-2834    
Dr. James Elliott Gregory Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Wallace School Rd, Charleston, SC 29407
Phone: 843-571-4411    
Dr. Theodore D Ravenel V, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 173 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3661    
Dr. Robert Louis Morrow Sr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18 A Leinbach Dr., Charleston, SC 29407
Phone: 843-795-3339    

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