OrganizationActive
Periodontal Associates of Jackson, P.A.
NPI 1790069854 · Periodontics · Jackson, MS
Periodontal Associates of Jackson, P.A. is a Periodontics organization in Jackson, MS (NPI 1790069854).
Provider details
- NPI number
- 1790069854
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Roger Parkes, Owner/Dentist(601) 956-1230
- License
- 2364-87 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
406 Briarwood Dr.
Ste. 101
Jackson, MS 39206
Phone: (601) 956-1230
Fax: (601) 956-0201
Street-level locationGet directions
Mailing address
406 Briarwood Dr.
Jackson, MS 39206
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 2011-10-06
Frequently asked questions
- What is Periodontal Associates of Jackson, P.A.'s NPI number?
- Periodontal Associates of Jackson, P.A.'s National Provider Identifier (NPI) is 1790069854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Associates of Jackson, P.A.?
- Periodontal Associates of Jackson, P.A. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Associates of Jackson, P.A. located?
- Periodontal Associates of Jackson, P.A.'s practice location on file with NPPES is 406 Briarwood Dr., Jackson, MS 39206.
- What is Periodontal Associates of Jackson, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Periodontal Associates of Jackson, P.A. is (601) 956-1230.
- Who is the authorized official for Periodontal Associates of Jackson, P.A.?
- The authorized official listed on Periodontal Associates of Jackson, P.A.'s NPPES record is Roger Parkes, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Associates of Jackson, P.A.'s NPI active?
- Yes — Periodontal Associates of Jackson, P.A.'s NPI (1790069854) is active in the NPPES registry as of the last update on 2011-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.