Periodontal Associates Of Jackson, P.A.

LBN: Periodontal Associates Of Jackson, P.A.
Periodontal Associates Of Jackson, P.A. is an health care organization with primary practice located at 406 Briarwood Dr. Ste. 101, Jackson MS 39206. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Associates Of Jackson, P.A. can be contacted via phone (601) 956-1230, or through Parkes, Roger B. via phone (601) 956-1230.

Contact Information

Primary practice address
406 Briarwood Dr. Ste. 101 Jackson MS 39206
Phone: (601) 956-1230
Fax: (601) 956-0201
Website:
Map and Directions
Authorized official contact:
Name: Parkes, Roger B. Doctor of Dental Medicine (DMD)
Phone: (601) 956-1230

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1845-79 Mississippi
Dental Providers / Periodontics 1223P0300X 2364-87 Mississippi

Profile Details

NPI number 1790069854
LBN Legal business name Periodontal Associates Of Jackson, P.A.
DBA Doing business as
Authorized official Parkes, Roger B. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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