Peach Tree Dental Management Llc in Ruston - General Practice
Peach Tree Dental Management Llc - NPI 1154591501
Peach Tree Dental Management Llc is a General Practice in Ruston, Louisiana. Peach Tree Dental Management Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peach Tree Dental Management Llc is 1154591501. The last update date is 2008-03-01.
Peach Tree Dental Management Llc's current location address is 136 Red Oak, Ruston, Louisiana. You can contact this provider via phone number 3185132654 and fax number 3182511270. The mailing address for Peach Tree Dental Management Llc is 136 Red Oak, Ruston, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peach Tree Dental Management Llc |
|---|---|
| Address | 136 Red Oak, Ruston, Louisiana |
| Phone Number | 3185132654 |
| Fax Number | 3182511270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Roberts Henton Jesse |
| Credentials | D.D.S. |
| Telephone Number | 3182559440 |
NPI Number Detail
| NPI Number | 1154591501 |
|---|---|
| Provider Enumeration Date | 2008-03-01 |
| Last Updated Date | 2008-03-01 |
Provider Mailing Address Detail
| Address | 136 Red Oak |
|---|---|
| City | Ruston |
| State | Louisiana (LA) |
| Post Code | 712708762 |
| Phone Number | 3185132654 |
| Fax Number | 3182511270 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5205 |
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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. |
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What is the Peach Tree Dental Management Llc's 1154591501?
The Peach Tree Dental Management Llc's NPI (National Provider Identifier) Number is 1154591501. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peach Tree Dental Management Llc?
The Peach Tree Dental Management Llc is physically situated at 136 Red Oak, in the city of Ruston, state of LA, with the postal code 712708762.
What is the Peach Tree Dental Management Llc's specialty and taxonomy code?
The Peach Tree Dental Management Llc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Peach Tree Dental Management Llc receive its 1154591501?
The Peach Tree Dental Management Llc was issued its 1154591501 on 2008-03-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Peach Tree Dental Management Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Peach Tree Dental Management Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-01.
NPI Number: 1598760647
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