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

Dr. Kimberly Moody Wade, DMD

Individual provider General Practice Dentistry · NPI 1245533975

Dr. Kimberly Moody Wade, DMD is a General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3578-10 (MS)

Record details

NPI number1245533975
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 20, 2010
Last updated in NPPESDecember 20, 2010

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