Peach Tree For Kids - Ruston, Llc | |
206 E Vaughn Ave Ruston LA 71270-5926 | |
(318) 255-7760 | |
Not Available |
Full Name | Peach Tree For Kids - Ruston, Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 206 E Vaughn Ave, Ruston, Louisiana |
Authorized Official Name and Position | Jesse Henton Roberts (OWNER/DENTIST) |
Authorized Official Contact | 3182557760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peach Tree For Kids - Ruston, Llc 702 N Trenton St Ruston LA 71270-3324 Ph: (318) 255-9440 | Peach Tree For Kids - Ruston, Llc 206 E Vaughn Ave Ruston LA 71270-5926 Ph: (318) 255-7760 |
NPI Number | 1144569252 |
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Provider Enumeration Date | 02/08/2013 |
Last Update Date | 02/08/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144569252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5205 (Louisiana) | Primary |
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› Verified 6 days ago
Trenton Dental Center Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1605 N Trenton St, Ruston, LA 71270 Phone: 318-255-7946 | |
Peach Tree Dental Management Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N Trenton St, Ruston, LA 71270 Phone: 318-255-9440 Fax: 318-251-1270 | |
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 |