DR. KIMBERLY MOODY WADE D.M.D.
NPI 1245533975
Dentist - General Practice in Jackson, MS

Active since December 20, 2010
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: December 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Moody Wade D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY MOODY WADE D.M.D. (NPI 1245533975) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (3578-10) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1245533975
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KIMBERLY MOODY WADECredential: D.M.D.
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321
Sole ProprietorNo
Enumeration DateDecember 20, 2010
NPI 1245533975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 3578-10
Definition

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.

3502 W NORTHSIDE DR, Jackson, MS 39213

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wade's NPI number?

The NPI number for Kimberly Wade is 1245533975. It was assigned to this individual provider in the NPPES registry on December 20, 2010.

Where is Kimberly Wade located?

Kimberly Wade practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Kimberly Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kimberly Wade accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 13 other insurers list Kimberly Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Wade was last updated on December 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.