Latresa Jackson, DMD

NPI #1720485121 in Hermitage, Tennessee

Provider Information

NPI Number: 1720485121
Entity Type: Individual
Name: Latresa Jackson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Dec 1, 2014
Last Updated: Nov 1, 2025

Practice Location

Address: 3901 CENTRAL PIKE STE 500
City: Hermitage
State: Tennessee
ZIP Code: 37076-3431
Phone: (159) 337-3006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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