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Periodontal Associates of Jackson, P.A.

Periodontics in Jackson, MS · enumerated 2011 · authorized official Roger Parkes, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790069854

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Registry record

Entity type Organization (Type 2)
Legal business name Periodontal Associates of Jackson, P.A.
Practice address 406 Briarwood Dr., Ste. 101, Jackson, MS, 39206
Phone (601) 956-1230
Fax (601) 956-0201
Enumeration date Oct 6, 2011
Last updated in NPPES Oct 6, 2011

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 1845-79 (MS) Primary
1223P0300X Periodontics Dental Providers · License 2364-87 (MS) Secondary

Authorized official

Name Roger Parkes
Title Owner/Dentist
Phone (601) 956-1230

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Periodontal Associates of Jackson, P.A. located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-10-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-06.