Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245533975 Individual Practitioner Female Practitioner

Dr. Kimberly Moody Wade , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Wade, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 3502 W NORTHSIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3502 W Northside Dr

Jackson, MS 392134454

Telephone 6013625321
Associated Practice Facility / Clinic

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 3578-10

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tiffani Mcknight

Social Worker - Clinical

NPI 1003388968
Katrice Andrews , FNP-C

Nurse Practitioner - Family

NPI 1013451780

Family Nurse Practitioner (Certified)

Ericia Cannon , NURSE PRACTITONER

Nurse Practitioner - Family

NPI 1013473891

NURSEPRACTITONER

Jequetta Mclaurin , FNP

Nurse Practitioner - Family

NPI 1013698513

Family Nurse Practitioner

Dr. Chad Rhoden , MD

Family Medicine

NPI 1043387764

Doctor of Medicine (M.D.)

Shamina Khanum , DENTIST

Dentist - General Practice

NPI 1053724120

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2010

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

📍
Updated Business Mailing Address December 20, 2010

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

👤
Provider Name / Credentials Updated December 20, 2010

Recorded as KIMBERLY WADE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2010

Dentist (License #3578-10 in MS)

🟢
Initial NPI Registration & Enumeration December 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245533975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2010
Last Update: December 20, 2010
Sole Proprietor: No

Mailing Address

3502 W Northside Dr

Jackson, MS 392134454

Phone: 6013625321

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.