DR. ROGER STEPHENSON WIRTZ D.M.D.
NPI 1639318116
Dentist - General Practice in Jackson, MS

Q: What is Roger Wirtz's NPI number?

The NPI number for Roger Wirtz is 1639318116. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Q: What is Roger Wirtz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Roger Wirtz was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2009

1765 LELIA DR., JACKSON, MS 39216(601) 982-5349(601) 982-9084 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Roger Stephenson Wirtz D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER STEPHENSON WIRTZ D.M.D. (NPI 1639318116) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (2040-83) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1639318116

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROGER STEPHENSON WIRTZCredential: D.M.D.

Location Address1765 LELIA DR.Jackson, MS 39216-4820

Mailing Address1765 Lelia DriveJackson, MS 39216-4820 · (601) 982-5349 · Fax (601) 982-9084

Phone(601) 982-5349

Fax(601) 982-9084

Sole ProprietorNo

Enumeration DateFebruary 6, 2009

✔ NPI 1639318116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 2040-83

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1765 LELIA DR., Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Wirtz's NPI number?

The NPI number for Roger Wirtz is 1639318116. It was assigned to this individual provider in the NPPES registry on February 6, 2009.

Where is Roger Wirtz located?

Roger Wirtz practices at 1765 Lelia Dr., Jackson, MS 39216. The listed phone number is (601) 982-5349.

What is Roger Wirtz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roger Wirtz accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Roger Wirtz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roger Wirtz was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.