Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERIODONTAL ASSOCIATES OF JACKSON, P.A.
Active OrganizationPERIODONTAL ASSOCIATES OF JACKSON, P.A. is a Periodontology organization located in JACKSON, Mississippi. NPI 1790069854 is currently active in the NPPES registry. Verify at CMS.
Periodontology · JACKSON, MS
Registration Details
- NPI Number
- 1790069854
- Provider Type
- Organization
- NPI Issued
- Oct 6, 2011 (14.874936799323 yrs)
- Last Updated
- Oct 6, 2011
- Licenses
-
2364-87 (MS)1845-79 (MS)
Practice Information
- Address
-
406 BRIARWOOD DR.STE. 101JACKSON, MS, 39206Browse MS providers · Browse ZIP 39206
- Phone
- 6019561230
- Fax
- 6019560201
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Organizations in JACKSON, MS
| Name | NPI |
|---|---|
| ROBERT W.RIVES, D.D.S., P.A. | 1952484701 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.