Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latresa Jackson, DMD

Individual provider General Practice Dentistry · NPI 1720485121

Latresa Jackson, DMD is a General Practice Dentistry in Hermitage, Tennessee. Licensed in Kentucky and Tennessee. Registered with an NPI since 2014.

Licensed in
KY, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3901 Central Pike Ste 500
Hermitage, TN 37076-3431
Phone: (159) 337-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9957 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10893 (KY)

Record details

NPI number1720485121
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 1, 2014
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025

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