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

Scott Christian Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669115770

Scott Christian Jackson is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Works from 3 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5180 Park Ave Ste 210
Memphis, TN 38119-3530
Phone: (901) 763-0850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2059 S Houston Levee Rd Ste 126, Germantown, TN 38139-6970 — (901) 425-0444
  • 875 Union Ave Ste C211, Memphis, TN 38103-3513 — (901) 448-6930

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12245 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669115770
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2022
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address17649 Rockwood Arbor Dr, Eureka, MO 63025-4035

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