OrganizationActive
Periodontal Associates of Jackson, P.A.
NPI 1790069854 · Periodontics · Jackson, MS
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
Practice location
406 Briarwood Dr.
Ste. 101
Jackson, MS 39206
Phone: (601) 956-1230
Fax: (601) 956-0201
Approximate (ZIP-level) locationGet directions
Mailing address
406 Briarwood Dr.
Jackson, MS 39206
Registry dates
- Enumerated
- 2011-10-06
- Last updated
- 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.