OrganizationActive
Robert W.rives, D.D.S., P.A.
NPI 1952484701 · Periodontics · Jackson, MS
Provider details
- NPI number
- 1952484701
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Robert Rives, Owner(601) 366-7396
- License
- 1807-78 (MS)
Specialties & taxonomies
Dental Providers
Practice location
1445 Lelia Dr
Jackson, MS 39216-4721
Phone: (601) 366-7396
Fax: (610) 366-7549
Approximate (ZIP-level) locationGet directions
Mailing address
1445 Lelia Dr
Jackson, MS 39216-4721
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 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.