Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Family Dentistry

Organization Dental Clinic/Center · NPI 1619338761

Kelly Family Dentistry is a Dental Clinic/Center in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016

Practice location Address checks out

514 E Woodrow Wilson Ave Ste G
Jackson, MS 39216-4538
Phone: (769) 572-4425
Fax: (844) 270-0967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 364412 (MS)

Record details

NPI number1619338761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shenika Kelly — Dentist/Owner · (769) 572-4425
NPI enumeratedMarch 17, 2016
Last updated in NPPESMarch 17, 2016
Mailing address514 E Woodrow Wilson Ave Ste G, Jackson, MS 39216-4538

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