| Peach Tree Dental Management Llc | |
|
702 N Trenton St Ruston LA 71270-3324 | |
| (318) 255-9440 | |
| (318) 251-1270 |
| Full Name | Peach Tree Dental Management Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 702 N Trenton St, Ruston, Louisiana |
| Authorized Official Name and Position | Jesse Henton Roberts (OWNER/DENTIST) |
| Authorized Official Contact | 3182559440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peach Tree Dental Management Llc 136 Red Oak Ruston LA 71270-8762 Ph: (318) 513-2654 | Peach Tree Dental Management Llc 702 N Trenton St Ruston LA 71270-3324 Ph: (318) 255-9440 |
| NPI Number | 1154591501 |
|---|---|
| Provider Enumeration Date | 03/01/2008 |
| Last Update Date | 03/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154591501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5205 (Louisiana) | Primary |
Trenton Dental Center Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1605 N Trenton St, Ruston, LA 71270 Phone: 318-255-7946 | |
Peach Tree For Kids - Ruston, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 E Vaughn Ave, Ruston, LA 71270 Phone: 318-255-7760 | |
Mercy Medical Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 S Vienna St, Ruston, LA 71270 Phone: 318-251-0334 | |
Johnston And Murphy Dental Care Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 306 E Reynolds Dr, Ruston, LA 71270 Phone: 318-255-6780 Fax: 318-255-6778 | |
Peach Tree Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Trenton St, Ruston, LA 71270 Phone: 318-255-9440 Fax: 318-251-1270 | |
Johnston Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 E Reynolds Dr, Suite 1, Ruston, LA 71270 Phone: 318-255-6780 |