Jackson Derrick, DMD
Jackson Derrick is a Student in an Organized Health Care Education/Training Program provider (Student in an Organized Health Care Education/Training Program) practicing in Abingdon, VA, registered in the NPPES registry with NPI 1245171776 since 2026. The credential DMD stands for Doctor of Medicine in Dentistry. Practices at Mission Dental Virginia, Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1245171776 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jackson Derrick |
| Credential | DMD |
| Sex | Male |
| Practice address | Abingdon, VA, 24210 |
| Phone | 2765254487 |
| Enumeration date | 2026-04-01 |
| Last updated in NPPES | 2026-04-01 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Primary | — | — |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Jackson Derrick, DMD NPI: 1245171776 Taxonomy: 390200000X (Student in an Organized Health Care Education/Training Program) Address: Abingdon, VA, 24210
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568070092 | Kayla Ramplin | Individual | General Practice Dentistry | Abingdon, VA |
| 1568070829 | David Marshall | Individual | General Practice Dentistry | Abingdon, VA |
| 1639785934 | Mission Dental Virginia, Inc | Organization | General Practice Dentistry | Abingdon, VA |
| 1982278115 | Lewis Luo | Individual | Dentist | Abingdon, VA |
| 1629647458 | Jacob Shelburne | Individual | Dentist | Abingdon, VA |
| 1366012676 | Tara Schram | Individual | Dentist | Abingdon, VA |
| 1568032787 | Tyler Covey | Individual | Dentist | Abingdon, VA |
| 1194395186 | Sara Holston | Individual | Dentist | Abingdon, VA |
Verify this record
Cross-check NPI 1245171776 against the authoritative CMS record: view Jackson Derrick on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-01.