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PEACH TREE DENTAL
NPI 1528404795
Dentist - General Practice in Ruston, LA

Active since May 15, 2013
702 N TRENTON ST, RUSTON, LA 71270(318) 255-9440(318) 251-1270 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peach Tree Dental NPPES

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

PEACH TREE DENTAL (NPI 1528404795) is a healthcare organization registered as a general practice in Ruston, Louisiana and active in the NPI registry since May 2013. The organization lists Jesse Henton Roberts, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1528404795
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEACH TREE DENTAL HOLDINGS, LLC
Location Address702 N TRENTON STRuston, LA 71270-3324
Mailing Address702 N Trenton StRuston, LA 71270-3324 · (318) 255-9440 · Fax (318) 251-1270
Phone(318) 255-9440
Fax(318) 251-1270
Organization SubpartNo
Authorized OfficialJesse Henton RobertsOwner/dentist · (318) 255-9440
Enumeration DateMay 15, 2013
✔ NPI 1528404795 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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Other Names 1

Doing Business AsPeach Tree Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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
PEACH TREE DENTAL MANAGEMENT LLC
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
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 Holdings, LLC's NPI number?

The NPI number for Peach Tree Dental Holdings, LLC is 1528404795. It was assigned to this organization in the NPPES registry on May 15, 2013. The provider is doing business as Peach Tree Dental.

Where is Peach Tree Dental Holdings, LLC located?

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

What is Peach Tree Dental Holdings, 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 Holdings, LLC was last updated on May 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.