Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013282961 Individual Practitioner Female Practitioner

Shenika Sharee Kelly

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Shenika Kelly is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 514 E WOODROW WILSON AVE STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

514 E Woodrow Wilson Ave Ste G

Jackson, MS 39216

Telephone 7695724425
Fax 8442700967
Associated Practice Facility / Clinic
🏢 Kelly Family Dentistry Facility NPI 1619338761

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
96 Specialists

Practicing in Jackson, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS MS3644-12

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 03, 2018

Registered at 514 E WOODROW WILSON AVE STE G, JACKSON, MS 39216 (Tel: 7695724425)

📍
Updated Business Mailing Address June 03, 2018

Registered at 219 GREENFIELD RIDGE DR, BRANDON, MS 390427023 (Tel: 6016726085)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2018

Dentist (License #MS3644-12 in MS)

NPI Profile Active April 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2012

Registered at 9032 PERKINS RD, BATON ROUGE, LA 708101507 (Tel: 2257685880)

📍
Updated Business Mailing Address April 30, 2012

Registered at 5220 SYCAMORE DR, JACKSON, MS 392125728 (Tel: 6016726085)

👤
Provider Name / Credentials Updated April 30, 2012

Recorded as SHENIKA KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Shenika Kelly. Be the first to share your experience!

Sign in to leave a review for Shenika Kelly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013282961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2012
Last Update: June 03, 2018
Sole Proprietor: No

Mailing Address

219 Greenfield Ridge Dr

Brandon, MS 390427023

Phone: 6016726085

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.