Doctor profile · Federal record
Dr. Jackson Green, DDS
Student in an Organized Health Care Education/Training Program · General Practice Dentistry · Memphis, TN
- NPI 1902535495
- 4 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
875 Union Ave
Memphis, TN 381632211
(901) 448-1731 - Mailing address
-
7794 Kings College Ave Apt 382
Germantown, TN 381382098
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- May 12, 2025
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Arizona #D011416
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902535495. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$52
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $30.62 | |
| VOCO America Inc. | 1 | $21.85 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
22
Total drug cost
$69
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 22 | $69 |
Frequently asked questions
What is Dr. Jackson Green's medical specialty?
Dr. Jackson Green practices Student in an Organized Health Care Education/Training Program in Memphis, TN.
Where does Dr. Jackson Green practice?
Dr. Jackson Green practices at 875 Union Ave, Memphis, TN 381632211. Office phone: 9014481731.
What is Dr. Jackson Green's NPI?
Dr. Jackson Green's National Provider Identifier (NPI) is 1902535495, issued by NPPES.