Individual provider · Type 1 NPI

Kimberly Moody Wade, DMD

General Practice Dentistry · Jackson, MS

NPI number 1245533975 Active

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Call (601) 362-5321 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3578-10 (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 1245533975

Kimberly Moody Wade, DMD's National Provider Identifier is 1245533975, issued on Dec 20, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Dec 20, 2010.