Latresa Jackson, DMD
NPI 1720485121ActiveIndividual· Dentist, General Practice· Hermitage, TN
Dentist, General Practice (DMD) in Hermitage, Tennessee, licensed in TN and KY, with an NPI issued in December 2014. Part D covered 34 prescriptions written in 2024, 100% of them generic. Colgate Oral Pharmaceuticals, Inc. reported $15.30 in payments in 2025, mostly education.
Overview
| NPI | 1720485121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Dec 1, 2014 |
| Last updated in NPPES | Nov 1, 2025 |
| Certified by provider | Nov 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9957 | TN |
| Dentist, General Practice | 1223G0001X | 10893 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (TN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $182.20 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$15.30 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $15.30 | 1 |
What the 2025 payments were for
- Education$15.30 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 general dentists in Hermitage · All general dentists in Tennessee