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Roger Wirtz, D.M.D
NPI 1639318116 · on the registry since 2009
Practice
- Address
- 1765 Lelia Dr.
Jackson, MS 39216 - Phone
- (601) 982-5349
- Fax
- (601) 982-9084
- Organisation at this address
- Roger Wirtz Dmd Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi