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PEACH TREE FOR KIDS - RUSTON, LLC
NPI 1144569252
Dentist - Pediatric Dentistry in Ruston, LA

Active since February 08, 2013
206 E VAUGHN AVE, RUSTON, LA 71270(318) 255-7760 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peach Tree For Kids - Ruston, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACH TREE FOR KIDS - RUSTON, LLC (NPI 1144569252) is a healthcare organization registered as a pediatric dentistry in Ruston, Louisiana and active in the NPI registry since February 2013. The organization lists Jesse Henton Roberts, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1144569252
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEACH TREE FOR KIDS - RUSTON, LLC
Location Address206 E VAUGHN AVERuston, LA 71270-5926
Mailing Address702 N Trenton StRuston, LA 71270-3324 · (318) 255-9440 · Fax (318) 251-1270
Phone(318) 255-7760
Organization SubpartNo
Authorized OfficialJesse Henton RobertsOwner/dentist · (318) 255-7760
Enumeration DateFebruary 8, 2013
✔ NPI 1144569252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in LA · 5205
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
206 E VAUGHN AVE, Ruston, LA 71270
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peach Tree For Kids - Ruston, LLC's NPI number?

The NPI number for Peach Tree For Kids - Ruston, LLC is 1144569252. It was assigned to this organization in the NPPES registry on February 8, 2013.

Where is Peach Tree For Kids - Ruston, LLC located?

Peach Tree For Kids - Ruston, LLC is located at 206 E Vaughn Ave, Ruston, LA 71270. The listed phone number is (318) 255-7760.

What is Peach Tree For Kids - Ruston, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Peach Tree For Kids - Ruston, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and DentaQuest- LA list Peach Tree For Kids - Ruston, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peach Tree For Kids - Ruston, LLC was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.