DERRICK BURT II
NPI 1841081049
Dentist - Pediatric Dentistry in Jackson, MS

Active since May 15, 2025
2500 N STATE ST, JACKSON, MS 39216(601) 983-6626 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Derrick Burt Ii NPPES

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

DERRICK BURT II (NPI 1841081049) is an individual pediatric dentistry provider in Jackson, Mississippi, licensed in Mississippi (PENDING) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1841081049
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDERRICK BURT II
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-1000
Sole ProprietorNo
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1841081049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · PENDING
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2500 N STATE ST, Jackson, MS 39216

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Derrick Burt's NPI number?

The NPI number for Derrick Burt is 1841081049. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Derrick Burt located?

Derrick Burt practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 983-6626.

What is Derrick Burt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Derrick Burt was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.