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Latresa Jackson, DMD
NPI 1720485121 · on the registry since 2014
Practice
- Address
- 3901 Central Pike Ste 500
Hermitage, TN 37076 - Phone
- (159) 337-3006
- Organisation at this address
- Kdpctn
Kdnashvilledc
Children'S Clinic East
Visiting Clinicians, Pc
Summit Surgery Center LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- TN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee