OrganizationActive
Roger Wirtz DMD PA
NPI 1861564817 · Dentist · Jackson, MS
Roger Wirtz DMD PA is a Dentist organization in Jackson, MS (NPI 1861564817).
Provider details
- NPI number
- 1861564817
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Roger Wirtz, President(601) 982-5349
- License
- 204083 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1765 Lelia Drive
Jackson, MS 39216-4820
Phone: (601) 982-5349
Fax: (601) 982-9084
Street-level locationGet directions
Mailing address
1765 Lelia Drive
Jackson, MS 39216-4820
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Roger Wirtz DMD PA's NPI number?
- Roger Wirtz DMD PA's National Provider Identifier (NPI) is 1861564817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roger Wirtz DMD PA?
- Roger Wirtz DMD PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Roger Wirtz DMD PA located?
- Roger Wirtz DMD PA's practice location on file with NPPES is 1765 Lelia Drive, Jackson, MS 39216-4820.
- What is Roger Wirtz DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Roger Wirtz DMD PA is (601) 982-5349.
- Who is the authorized official for Roger Wirtz DMD PA?
- The authorized official listed on Roger Wirtz DMD PA's NPPES record is Roger Wirtz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roger Wirtz DMD PA's NPI active?
- Yes — Roger Wirtz DMD PA's NPI (1861564817) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.