IndividualActive
Scott Jackson
NPI 1669115770 · General Practice Dentistry · Memphis, TN
Scott Jackson is a General Practice Dentistry provider in Memphis, TN (NPI 1669115770).
Provider details
- NPI number
- 1669115770
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5180 Park Ave Ste 210
Memphis, TN 38119-3530
Phone: (901) 763-0850
Street-level locationGet directions
Mailing address
17649 Rockwood Arbor Dr
Eureka, MO 63025-4035
Additional practice locations (2)
- 2059 S Houston Levee Rd Ste 126Germantown, TN 38139-6970Phone: (901) 425-0444
- 875 Union Ave Ste C211Memphis, TN 38103-3513Phone: (901) 448-6930
Registry dates
- Enumerated
- 2022-04-16
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Frequently asked questions
- What is Scott Jackson's NPI number?
- Scott Jackson's National Provider Identifier (NPI) is 1669115770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Jackson's specialty?
- Scott Jackson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Scott Jackson located?
- Scott Jackson's practice location on file with NPPES is 5180 Park Ave Ste 210, Memphis, TN 38119-3530.
- What is Scott Jackson's phone number?
- The practice phone number listed in the NPPES registry for Scott Jackson is (901) 763-0850.
- Is Scott Jackson's NPI active?
- Yes — Scott Jackson's NPI (1669115770) is active in the NPPES registry as of the last update on 2024-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.