Organization · Type 2 NPI
Periodontal Associates of Jackson, P.a.
Periodontics · Jackson, MS
NPI number
1790069854
Active
Practice location
406 Briarwood Dr., Ste. 101
Jackson, MS 39206
Fax (601) 956-0201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 1845-79 (MS) |
| Periodontics | 1223P0300X | 2364-87 (MS) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Jackson
About NPI 1790069854
Periodontal Associates of Jackson, P.a.'s National Provider Identifier is 1790069854, issued on Oct 6, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jackson, MS. The record was last updated on Oct 6, 2011.