PERIODONTAL ASSOCIATES OF JACKSON, P.A.
NPI 1790069854
Dentist - Periodontics in Jackson, MS

Q: What is Periodontal Associates Of Jackson, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since October 06, 2011

406 BRIARWOOD DR., STE. 101, JACKSON, MS 39206(601) 956-1230(601) 956-0201 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Periodontal Associates Of Jackson, P.a. NPPES

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

PERIODONTAL ASSOCIATES OF JACKSON, P.A. (NPI 1790069854) is a healthcare organization registered as a periodontics in Jackson, Mississippi and active in the NPI registry since October 2011. The organization lists Roger B. Parkes, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1790069854

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTAL ASSOCIATES OF JACKSON, P.A.

Location Address406 BRIARWOOD DR., STE. 101Jackson, MS 39206

Mailing Address406 Briarwood Dr., Ste. 101Jackson, MS 39206 · (601) 956-1230 · Fax (601) 956-0201

Phone(601) 956-1230

Fax(601) 956-0201

Organization SubpartNo

Authorized OfficialRoger B. ParkesOwner/dentist · (601) 956-1230

Enumeration DateOctober 6, 2011

✔ NPI 1790069854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in MS · 1845-79✔ Licensed in MS · 2364-87

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

406 BRIARWOOD DR., Jackson, MS 39206

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Periodontal Associates Of Jackson, P.A.'s NPI number?

The NPI number for Periodontal Associates Of Jackson, P.A. is 1790069854. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is Periodontal Associates Of Jackson, P.A. located?

Periodontal Associates Of Jackson, P.A. is located at 406 Briarwood Dr. Ste. 101, Jackson, MS 39206. The listed phone number is (601) 956-1230.

What is Periodontal Associates Of Jackson, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Associates Of Jackson, P.A. was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.