Derrick Burt II

Pediatric Dentistry · Jackson, MS

Individual Active NPI

NPI number 1841081049

Practice location

2500 N State St
Jackson, MS 39216-4500
Phone
(601) 983-6626

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NPI record

NPI
1841081049
Entity type
Individual (Type 1)
Enumeration date
May 15, 2025
Last updated
May 15, 2025
Certified
May 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X PENDING MS

About Derrick Burt

Derrick Burt II is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2500 N State St, Jackson, MS 39216-4500. The NPI number 1841081049 was assigned on May 15, 2025 and the record was last updated on May 15, 2025.

Derrick Burt lists a license in the registry: #PENDING (MS) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Burt II?

The NPI number is 1841081049.

What is the phone number of Derrick Burt?

The phone number listed for the practice location is (601) 983-6626.

Where is Derrick Burt located?

2500 N State St, Jackson, MS 39216-4500.

What is the taxonomy code for Derrick Burt?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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