| Periodontal Associates Of Jackson, P.a. | |
|
406 Briarwood Dr. Ste. 101 Jackson MS 39206 | |
| (601) 956-1230 | |
| (601) 956-0201 |
| Full Name | Periodontal Associates Of Jackson, P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 406 Briarwood Dr., Jackson, Mississippi |
| Authorized Official Name and Position | Roger B. Parkes (OWNER/DENTIST) |
| Authorized Official Contact | 6019561230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates Of Jackson, P.a. 406 Briarwood Dr. Ste. 101 Jackson MS 39206 Ph: (601) 956-1230 | Periodontal Associates Of Jackson, P.a. 406 Briarwood Dr. Ste. 101 Jackson MS 39206 Ph: (601) 956-1230 |
| NPI Number | 1790069854 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790069854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1845-79 (Mississippi) | Primary |
| 1223P0300X | Dentist - Periodontics | 2364-87 (Mississippi) | Secondary |
Bender Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 Manhattan Rd, Jackson, MS 39206 Phone: 601-362-0460 | |
Anderson Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514-d East Woodrow Wilson Dr., Jackson, MS 39216 Phone: 601-366-1112 Fax: 601-366-6092 | |
Lloyd B. Wolfe, Jr., D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Briarwood Dr Ste 102, Jackson, MS 39206 Phone: 601-957-9200 Fax: 601-957-2060 | |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4463 N State St, Jackson, MS 39206 Phone: 800-920-9947 | |
Dockins Denatll, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500i E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-982-0048 Fax: 601-982-0388 | |
Advance Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 E County Line Rd, Jackson, MS 39211 Phone: 601-206-1112 Fax: 601-206-1114 | |
Choices For Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2941 Terry Rd Ste 16, Jackson, MS 39212 Phone: 601-372-0066 Fax: 601-371-6931 |