Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Periodontal Associates of Jackson, PA

Organization Periodontics · NPI 1790069854

Periodontal Associates of Jackson, PA is a Periodontics in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

406 Briarwood Dr Ste 101
Jackson, MS 39206
Phone: (601) 956-1230
Fax: (601) 956-0201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 1845-79 (MS)
Periodontics Taxonomy 1223P0300X · Licence 2364-87 (MS)

Record details

NPI number1790069854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Parkes — Owner/Dentist · (601) 956-1230
NPI enumeratedOctober 6, 2011
Last updated in NPPESOctober 6, 2011
Mailing address406 Briarwood Dr., Ste. 101, Jackson, MS 39206

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