Wesley Shields, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4178-21 Issued in MS

Practice address

504 Keywood Cir Ste a
Flowood, MS 39232-3027

Phone

(601) 450-5550

NPI assigned

Mar 31, 2021

Last updated

Feb 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shields Orofacial Pain and Dental Sleep

  dba MS Pain and Sleep

  • Dental Clinic/Center
  • Flowood, MS
  • NPI 1972317626
  NPD Authorized official
• Cronin Family Dentistry PA

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1902120199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1740868678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 KEYWOOD CIR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323027",
            "telephone_number": "601-351-5651",
            "fax_number": "601-351-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 KEYWOOD CIR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323027",
            "telephone_number": "601-450-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4178-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Willis, D.D.S., PLLC (Willis General Dentistry)
• Peyton Conn Shell
• Breanna Shenk, NP
• Shephearst Meadows, LLC
• Shields Orofacial Pain and Dental Sleep (MS Pain and Sleep)
• Khizer M Siddiqi, MD
• Kevin Sijansky, M.D.
• Jill P Silvey, CRNA
• Kenneth Roy Simmons
• Nicole Simonson, LPC, NCC

• General Practice Dentistry in Flowood, MS
• Providers in Flowood, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.