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

Shenika Sharee Kelly

Individual provider General Practice Dentistry · NPI 1013282961

Shenika Sharee Kelly is a General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012

Practice location Address checks out

514 E Woodrow Wilson Ave Ste G
Jackson, MS 39216
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

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence MS3644-12 (MS)

Record details

NPI number1013282961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2012
Last updated in NPPESJune 3, 2018
Mailing address219 Greenfield Ridge Dr, Brandon, MS 39042-7023

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