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

Dr. Jeremy Wayne Parker, DMD

Individual provider General Practice Dentistry · NPI 1265744510

Dr. Jeremy Wayne Parker, DMD is a General Practice Dentistry in Diberville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

4299 Popps Ferry Rd
Diberville, MS 39540-2363
Phone: (228) 392-0509
Fax: (228) 392-8709
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3553-10 (MS)

Record details

NPI number1265744510
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 1, 2010
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021

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