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Southern Pines Dental, LLC

General Practice Dentistry in Arcadia, LA · enumerated 2016 · authorized official Jesse Roberts, Owner/Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922457175

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Pines Dental, LLC
Practice address 1416 Hazel St, Arcadia, LA, 71001
Fax (318) 579-5038
Enumeration date Jun 8, 2016
Last updated in NPPES Jun 8, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 3586 (LA) Primary
1223G0001X General Practice Dentistry Dental Providers · License 6627 (LA) Secondary

Authorized official

Name Jesse Roberts
Title Owner/Dentist

Other identifiers

Identifier Type State Issuer
1835862 Medicaid LA -
32635 Medicaid LA -

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.

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Frequently asked questions

What type of organization is Southern Pines Dental, LLC?
Southern Pines Dental, LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-08.