Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

J.a. Willis, DMD and Russell Parker, DMD Family Dentistry

Organization General Practice Dentistry · NPI 1760697437

J.a. Willis, DMD and Russell Parker, DMD Family Dentistry provides General Practice Dentistry in Pascagoula, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

1226 Jackson Ave
Pascagoula, MS 39567-4348 Not confirmed with CMS for 18 years — call before visiting
Phone: (228) 769-9010
Fax: (228) 762-0303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1858-79 (MS)

Record details

NPI number1760697437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. Willis — Partner · (228) 769-9010
Other names Willis & Parker Family Dentistry
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 24, 2008
Mailing addressPo Box 1086, Pascagoula, MS 39568-1086

Other providers in Pascagoula