Search › South Carolina › 1223G0001X
Nima Ghorbani Moghaddam
NPI 1104741149 · on the registry since 2026
Practice
- Address
- 203 N Lake Dr
Lexington, SC 29072 - Phone
- (803) 520-3110
- Organisation at this address
- Wild Smiles, Llc
Dentistry For Children Of South Carolina PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223X0400X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina