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PEACH TREE DENTAL JONESBORO, L.L.C.
NPI 1396198248
Dentist - General Practice in Jonesboro, LA

Active since July 15, 2016
602 PERSHING HWY, JONESBORO, LA 71251(318) 259-4161(318) 259-1473 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peach Tree Dental Jonesboro, L.l.c. NPPES

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

PEACH TREE DENTAL JONESBORO, L.L.C. (NPI 1396198248) is a healthcare organization registered as a general practice in Jonesboro, Louisiana and active in the NPI registry since July 2016. The organization lists Jesse Henton Roberts, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1396198248
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEACH TREE DENTAL JONESBORO, L.L.C.
Location Address602 PERSHING HWYJonesboro, LA 71251-2040
Mailing Address602 Pershing HwyJonesboro, LA 71251-2040 · (318) 259-4161 · Fax (318) 259-1473
Phone(318) 259-4161
Fax(318) 259-1473
Organization SubpartNo
Authorized OfficialJesse Henton RobertsOwner/dentist · (318) 259-4161
Enumeration DateJuly 15, 2016
✔ NPI 1396198248 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 · 3857
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.
602 PERSHING HWY, Jonesboro, LA 71251
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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 2

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

SHAWN PERRY DDS
Dentist (General Practice)
602 PERSHING HWY
JONESBORO, LA 71251
Jackson Parish (318) 259-4161
DR. CHRISTOPHER JACOB ANTEE DDS
Dentist
602 PERSHING HWY
JONESBORO, LA 71251
Jackson Parish (318) 259-4161

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 Jonesboro, L.L.C.'s NPI number?

The NPI number for Peach Tree Dental Jonesboro, L.L.C. is 1396198248. It was assigned to this organization in the NPPES registry on July 15, 2016.

Where is Peach Tree Dental Jonesboro, L.L.C. located?

Peach Tree Dental Jonesboro, L.L.C. is located at 602 Pershing Hwy, Jonesboro, LA 71251. The listed phone number is (318) 259-4161.

What is Peach Tree Dental Jonesboro, L.L.C.'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 Jonesboro, L.L.C. was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.