Individual provider · Type 1 NPI

Latresa Jackson, DMD

General Practice Dentistry · Hermitage, TN

NPI number 1720485121 Active

Practice location

3901 Central Pike Ste 500
Hermitage, TN 37076-3431

Call (159) 337-3006 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9957 (TN)
General Practice Dentistry 1223G0001X10893 (KY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

16 other providers at this address

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About NPI 1720485121

Latresa Jackson, DMD's National Provider Identifier is 1720485121, issued on Dec 1, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hermitage, TN. The record was last updated on Nov 1, 2025.