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PEACH TREE DENTAL MANAGEMENT LLC
NPI 1154591501
Dentist - General Practice in Ruston, LA

Active since March 01, 2008
702 N TRENTON ST, RUSTON, LA 71270(318) 255-9440(318) 251-1270 Get Directions Write a Review

NPPES record last updated: March 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peach Tree Dental Management Llc NPPES

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

PEACH TREE DENTAL MANAGEMENT LLC (NPI 1154591501) is a healthcare organization registered as a general practice in Ruston, Louisiana and active in the NPI registry since March 2008. The organization lists Jesse Henton Roberts, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1154591501
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEACH TREE DENTAL MANAGEMENT LLC
Location Address702 N TRENTON STRuston, LA 71270-3324
Mailing Address136 Red OakRuston, LA 71270-8762 · (318) 513-2654 · Fax (318) 251-1270
Phone(318) 255-9440
Fax(318) 251-1270
Organization SubpartNo
Authorized OfficialJesse Henton RobertsOwner/dentist · (318) 255-9440
Enumeration DateMarch 1, 2008
✔ NPI 1154591501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 5205
Definition
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.
702 N TRENTON ST, 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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSE HENTON ROBERTS JR. DDS
Dentist (General Practice)
702 N TRENTON ST
RUSTON, LA 71270
Lincoln Parish (318) 255-9440
JAY HOWELL D.D.S.
Dentist (General Practice)
702 N TRENTON ST
RUSTON, LA 71270
Lincoln Parish (318) 255-9440
DR. JESSE HENTON ROBERTS III DDS
Dentist (General Practice)
702 N TRENTON ST
RUSTON, LA 71270
Lincoln Parish (318) 255-9440
PEACH TREE DENTAL HOLDINGS, LLC
Dentist (General Practice)
702 N TRENTON ST
RUSTON, LA 71270
Lincoln Parish (318) 255-9440
DR. CARSON DAHL DDS
Dentist
702 N TRENTON ST
RUSTON, LA 71270
Lincoln Parish (318) 255-9440

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 Dental Management LLC's NPI number?

The NPI number for Peach Tree Dental Management LLC is 1154591501. It was assigned to this organization in the NPPES registry on March 1, 2008.

Where is Peach Tree Dental Management LLC located?

Peach Tree Dental Management LLC is located at 702 N Trenton St, Ruston, LA 71270. The listed phone number is (318) 255-9440.

What is Peach Tree Dental Management LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peach Tree Dental Management LLC was last updated on March 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.