DR. JERRY WATSON BURGESS DDS
NPI 1114045747
Dentist - General Practice in Grapevine, TX

Q: What is Jerry Burgess's NPI number?

The NPI number for Jerry Burgess is 1114045747. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Jerry Burgess's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Burgess was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2007

1105 W WALL ST, GRAPEVINE, TX 76051(817) 481-4717 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jerry Watson Burgess Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY WATSON BURGESS DDS (NPI 1114045747) is an individual general practice provider in Grapevine, Texas, licensed in Texas (9032) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114045747

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY WATSON BURGESSCredential: DDS

Location Address1105 W WALL STGrapevine, TX 76051-5152

Mailing Address1105 W Wall StGrapevine, TX 76051-5152 · (817) 481-4717

Phone(817) 481-4717

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114045747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 9032

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1105 W WALL ST, Grapevine, TX 76051

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BURGESS AND MASON DDS

Dentist (General Practice)

1105 W WALL ST
GRAPEVINE, TX 76051

Tarrant County (817) 481-4717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Burgess's NPI number?

The NPI number for Jerry Burgess is 1114045747. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Jerry Burgess located?

Jerry Burgess practices at 1105 W Wall St, Grapevine, TX 76051. The listed phone number is (817) 481-4717.

What is Jerry Burgess's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Burgess was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.