PEACH TREE DENTAL
NPI 1750506036
Dentist - General Practice in San Luis Obispo, CA

Q: What is Slade Dmd Corporation's NPI number?

The NPI number for Slade Dmd Corporation is 1750506036. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Peach Tree Dental.

Q: What is Slade Dmd Corporation's specialty?

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

Active since April 13, 2007

862 MEINECKE AVENUE, SUITE 200, SAN LUIS OBISPO, CA 93405(805) 544-7804(805) 544-6020 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Peach Tree Dental NPPES

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

PEACH TREE DENTAL (NPI 1750506036) is a healthcare organization registered as a general practice in San Luis Obispo, California and active in the NPI registry since April 2007. The organization lists Troy Kendall Slade, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1750506036

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSLADE DMD CORPORATION

Location Address862 MEINECKE AVENUE, SUITE 200San Luis Obispo, CA 93405

Mailing Address862 Meinecke Avenue, Suite 200San Luis Obispo, CA 93405 · (805) 544-7804 · Fax (805) 544-6020

Phone(805) 544-7804

Fax(805) 544-6020

Organization SubpartNo

Authorized OfficialTroy Kendall SladeDentist/owner · (805) 544-7804

Enumeration DateApril 13, 2007

Last NPPES UpdateAugust 4, 2014

✔ NPI 1750506036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 58800✔ Licensed in CA · 62898

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.

862 MEINECKE AVENUE, San Luis Obispo, CA 93405

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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

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 Slade Dmd Corporation's NPI number?

The NPI number for Slade Dmd Corporation is 1750506036. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Peach Tree Dental.

Where is Slade Dmd Corporation located?

Slade Dmd Corporation is located at 862 Meinecke Avenue Suite 200, San Luis Obispo, CA 93405. The listed phone number is (805) 544-7804.

What is Slade Dmd Corporation'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 Slade Dmd Corporation was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.