Peach Tree Dental Management LLC
Peach Tree Dental Management LLC is a healthcare organization registered as General Practice Dentistry in Ruston, LA, holding Type 2 (organization) NPI 1154591501 since 2008. The authorized official on file is Jesse Roberts, Owner/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154591501 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peach Tree Dental Management LLC |
| Practice address | 702 N TRENTON ST, Ruston, LA, 71270 |
| Phone | 3182559440 |
| Fax | 3182511270 |
| Enumeration date | 2008-03-01 |
| Last updated in NPPES | 2008-03-01 |
Authorized official
| Name | Jesse Roberts |
|---|---|
| Title | Owner/Dentist |
| Phone | 3182559440 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 5205 | LA |
Copy-ready billing details
Provider: Peach Tree Dental Management LLC NPI: 1154591501 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 702 N TRENTON ST, Ruston, LA, 71270
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326197930 | Jesse Roberts | Individual | General Practice Dentistry | Ruston, LA |
| 1114076718 | Jesse Roberts | Individual | General Practice Dentistry | Ruston, LA |
| 1235330952 | Jay Howell | Individual | General Practice Dentistry | Ruston, LA |
| 1528404795 | Peach Tree Dental Holdings, LLC | Organization | General Practice Dentistry | Ruston, LA |
| 1962997379 | Carson Dahl | Individual | Dentist | Ruston, LA |
Verify this record
Cross-check NPI 1154591501 against the authoritative CMS record: view Peach Tree Dental Management LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Peach Tree Dental Management LLC?
What is the NPI number for Peach Tree Dental Management LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-01.