IndividualActive
Jerry Burgess, DDS
NPI 1114045747 · General Practice Dentistry · Grapevine, TX
Jerry Burgess, DDS is a General Practice Dentistry provider in Grapevine, TX (NPI 1114045747).
Provider details
- NPI number
- 1114045747
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9032 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 W Wall St
Grapevine, TX 76051-5152
Phone: (817) 481-4717
Street-level locationGet directions
Mailing address
1105 W Wall St
Grapevine, TX 76051-5152
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Burgess's NPI number?
- Jerry Burgess's National Provider Identifier (NPI) is 1114045747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Burgess's specialty?
- Jerry Burgess is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jerry Burgess located?
- Jerry Burgess's practice location on file with NPPES is 1105 W Wall St, Grapevine, TX 76051-5152.
- What is Jerry Burgess's phone number?
- The practice phone number listed in the NPPES registry for Jerry Burgess is (817) 481-4717.
- Is Jerry Burgess's NPI active?
- Yes — Jerry Burgess's NPI (1114045747) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.