Individual provider · Type 1 NPI

Shenika Sharee Kelly

General Practice Dentistry · Jackson, MS

NPI number 1013282961 Active

Practice location

514 E Woodrow Wilson Ave Ste G
Jackson, MS 39216

Call (769) 572-4425 Map

Fax (844) 270-0967

Mailing address

219 Greenfield Ridge Dr
Brandon, MS 39042-7023

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XMS3644-12 (MS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1013282961

Shenika Sharee Kelly's National Provider Identifier is 1013282961, issued on Mar 11, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Jun 3, 2018.