Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATRESA JACKSON, DMD
ActiveLATRESA JACKSON, DMD is a General Dentistry healthcare provider located in HERMITAGE, Tennessee. NPI 1720485121 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HERMITAGE, TN
Registration Details
- NPI Number
- 1720485121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2014 (11.694961318937 yrs)
- Last Updated
- Nov 1, 2025
- Licenses
-
9957 (TN)10893 (KY)
Practice Information
- Address
-
3901 CENTRAL PIKE STE 500HERMITAGE, TN, 370763431Browse TN providers · Browse ZIP 37076
- Phone
- 1593373006
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in HERMITAGE, TN
| Name | Credential | NPI |
|---|---|---|
| ALLEN WONG | DDS | 1487609749 |
| DR. LOWELL CONRAD WHITEFIELD | DDS | 1659489151 |
| DR. KEITH NELSON SHRUM | D.D.S. | 1578671384 |
| DR. JANE A BACON | D.M.D | 1073624482 |
| DR. AILEEN MARTY KRUGER | D.D.S | 1952494031 |
| DR. MICHAEL O OAKES | D.D.S. | 1336207067 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.