Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Burt II

Individual provider Pediatric Dentistry · NPI 1841081049

Derrick Burt II is a Pediatric Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 983-6626
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence PENDING (MS)

Record details

NPI number1841081049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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