LATRESA JACKSON DMD
NPI 1720485121
Dentist - General Practice in Hermitage, TN
About Latresa Jackson Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATRESA JACKSON DMD (NPI 1720485121) is an individual general practice provider in Hermitage, Tennessee, licensed in Tennessee (9957) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latresa Jackson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERMITAGE, TN 37076
HERMITAGE, TN 37076
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720485121, enumerated as an "individual" on December 01, 2014.
The provider is located at 3901 CENTRAL PIKE STE 500 HERMITAGE, TN 37076 and the phone number is (159) 337-3006.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.
