ROGER WIRTZ DMD PA
NPI 1861564817
Dentist in Jackson, MS

Q: What is Roger Wirtz Dmd PA's NPI number?

The NPI number for Roger Wirtz Dmd PA is 1861564817. It was assigned to this organization in the NPPES registry on November 14, 2006.

Q: What is Roger Wirtz Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 14, 2006

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

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Roger Wirtz Dmd Pa NPPES

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

ROGER WIRTZ DMD PA (NPI 1861564817) is a healthcare organization registered as a dentist in Jackson, Mississippi and active in the NPI registry since November 2006. The organization lists Roger Stephenson Wirtz, President, as its authorized official.

NPPES Registry Identity

NPI1861564817

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameROGER WIRTZ DMD PA

Location Address1765 LELIA DRIVEJackson, 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

Organization SubpartNo

Authorized OfficialRoger Stephenson WirtzPresident · (601) 982-5349

Enumeration DateNovember 14, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1861564817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MS · 204083

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1765 LELIA DRIVE, Jackson, MS 39216

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Roger Wirtz Dmd PA's NPI number?

The NPI number for Roger Wirtz Dmd PA is 1861564817. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Roger Wirtz Dmd PA located?

Roger Wirtz Dmd PA is located at 1765 Lelia Drive, Jackson, MS 39216. The listed phone number is (601) 982-5349.

What is Roger Wirtz Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Roger Wirtz Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.