Kelly Family Dentistry

LBN: Kelly Family Dentistry
Kelly Family Dentistry is an health care organization with primary practice located at 514 E Woodrow Wilson Ave Ste G , Jackson MS 39216-4538. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kelly Family Dentistry can be contacted via phone (769) 572-4425, or through Kelly, Shenika via phone (769) 572-4425.

Contact Information

Primary practice address
514 E Woodrow Wilson Ave Ste G Jackson MS 39216-4538
Phone: (769) 572-4425
Fax: (844) 270-0967
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Shenika Doctor of Dental Medicine (DMD)
Phone: (769) 572-4425

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 364412 Mississippi

Profile Details

NPI number 1619338761
LBN Legal business name Kelly Family Dentistry
DBA Doing business as
Authorized official Kelly, Shenika Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers