Peach Tree Dental Jonesboro, L.l.c. | |
602 Pershing Hwy Jonesboro LA 71251-2040 | |
(318) 259-4161 | |
(318) 259-1473 |
Full Name | Peach Tree Dental Jonesboro, L.l.c. |
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Speciality | Dentist - General Practice |
Location | 602 Pershing Hwy, Jonesboro, Louisiana |
Authorized Official Name and Position | Jesse Henton Roberts (OWNER/DENTIST) |
Authorized Official Contact | 3182594161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peach Tree Dental Jonesboro, L.l.c. 602 Pershing Hwy Jonesboro LA 71251-2040 Ph: (318) 259-4161 | Peach Tree Dental Jonesboro, L.l.c. 602 Pershing Hwy Jonesboro LA 71251-2040 Ph: (318) 259-4161 |
NPI Number | 1396198248 |
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Provider Enumeration Date | 07/15/2016 |
Last Update Date | 07/15/2016 |
Identifier | Type | State | Issuer |
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1396198248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3857 (Louisiana) | Primary |