Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811150766 Individual Practitioner Female Practitioner

Dr. Deidra Janiece Snell , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Deidra Snell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 5800 RIDGEWOOD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5800 Ridgewood Rd
Suite 105

Jackson, MS 392112667

Telephone 6013982934
Fax 7692163311
Associated Practice Facility / Clinic
🏢 John P. Buchanan, Dmd, Pa Facility NPI 1336251669

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 3459-08

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1811150766 (MS)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Daniel Story

Dentist - General Practice

NPI 1568577039
NPI 1629257357

Doctor of Dental Surgery

Dr. Eugene Brown , DDS, MS, PA

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1780755165

Doctor of Dental Surgery, Master of Science, Physician Assistant

NPI 1811009145

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2016

Registered at 5800 RIDGEWOOD RD, SUITE 105, JACKSON, MS 392112667 (Tel: 6013982934)

📍
Updated Business Mailing Address October 11, 2016

Registered at 5800 RIDGEWOOD RD, SUITE 105, JACKSON, MS 392112667 (Tel: 6013982934)

👤
Provider Name / Credentials Updated October 11, 2016

Recorded as DEIDRA SNELL, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Dentist (License #3459-08 in MS)

🟢
Initial NPI Registration & Enumeration July 09, 2008

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: 1811150766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2008
Last Update: October 11, 2016
Sole Proprietor: Yes

Mailing Address

5800 Ridgewood Rd, Suite 105

Jackson, MS 392112667

Phone: 6013982934

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.