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

Dr. Roger Stephenson Wirtz, DMD

Individual provider General Practice Dentistry · NPI 1639318116

Dr. Roger Stephenson Wirtz, DMD is a General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1765 Lelia Dr
Jackson, MS 39216-4820
Phone: (601) 982-5349
Fax: (601) 982-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2040-83 (MS)

Record details

NPI number1639318116
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 6, 2009
Last updated in NPPESFebruary 6, 2009

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