DR. SHENEKIA AYANA WELLS WIGGINS


Address: 3502 W Northside Dr, Jackson, MS 39213-4454
Phone: 6013625321

DR. SHENEKIA AYANA WELLS WIGGINS (NPI# 1497089197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497089197
Entity Type Individual
Full Name DR. SHENEKIA AYANA WELLS WIGGINS
Credential D.M.D.
Practice Address 3502 W Northside Dr
Jackson
MS 39213-4454
Mailing Address 5207 Meadow Oaks Park Dr
Jackson
MS 39211-4820
Practice Telephone 6013625321
Mailing Telephone 7692162913
Enumeration Date 2009-09-28
Last Update Date 2017-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 3527-09 MS Dental Providers

Office Location

Street Address 3502 W NORTHSIDE DR
City JACKSON
State MS
Zip Code 39213-4454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952386559 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3502 W Northside Dr, Jackson, MS 39213-4454 2005-12-07
1689217812 Ebony Martin Case Manager/Care Coordinator 3502 W Northside Dr, Jackson, MS 39213-4454 2019-10-21
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1013473891 Ericia Latrice Cannon Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2019-02-16
1578037172 Jennifer Henley Internal Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2019-01-16
1003388968 Tiffani Ricchele Mcknight Social Worker 3502 W Northside Dr, Jackson, MS 39213-4454 2018-12-17
1356810360 Thrishanna Clark Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-11-19
1376034660 Sirna Musa Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-05-23
1033649058 Central Mississippi Civic Improvement Association, Inc. Clinic/Center 3502 W Northside Dr, Jackson, MS 39213-4454 2017-06-13
1013451780 Katrice Pacley Andrews Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619595295 Charles Austin Huffman Dentist 1189 E County Line Rd, Jackson, MS 39211-1836 2020-07-09
1184249278 Sleep Better Solutions LLC Dentist 9 Chatwick Cv, Jackson, TN 38305-5642 2020-06-15
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1124689864 Hannah Farrar Dentist 2064 S Highland Ave, Jackson, TN 38301-7741 2019-06-24
1417515214 Richard Yoo Dentist 3857 Cooper St Ofc, Jackson, MI 49201-7547 2019-06-05
1487148078 Tanvi Patil Dentist 1074 Jackson Crossing, Jackson, MI 49202-2039 2018-06-18
1487183737 Arkady Khaykin Dentist 24 N Cooks Bridge Rd, Jackson, NJ 08527 2017-06-09
1497292239 Advanced Dental Clinic Dentist 1555 E County Line Road, Jackson, MS 39211 2017-01-31
1598131336 S Kaur Dds Inc Dentist 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 2015-08-17
1841675931 Miriam Tygier Furlong Dentist 186 W Veterans Hwy, Jackson, NJ 08527-3410 2015-07-30
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Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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