OrganizationActive
Peach Tree Dental Holdings, LLC
NPI 1528404795 · General Practice Dentistry · Ruston, LA
Peach Tree Dental Holdings, LLC is a General Practice Dentistry organization in Ruston, LA (NPI 1528404795).
Provider details
- NPI number
- 1528404795
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jesse Roberts, Owner/Dentist(318) 255-9440
- License
- 5205 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
702 N Trenton St
Ruston, LA 71270-3324
Phone: (318) 255-9440
Fax: (318) 251-1270
Street-level locationGet directions
Mailing address
702 N Trenton St
Ruston, LA 71270-3324
Other names (DBA / former)
- Doing business as
- Peach Tree Dental
Registry dates
- Enumerated
- 2013-05-15
- Last updated
- 2013-05-15
Frequently asked questions
- What is Peach Tree Dental Holdings, LLC's NPI number?
- Peach Tree Dental Holdings, LLC's National Provider Identifier (NPI) is 1528404795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach Tree Dental Holdings, LLC?
- Peach Tree Dental Holdings, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Peach Tree Dental Holdings, LLC located?
- Peach Tree Dental Holdings, LLC's practice location on file with NPPES is 702 N Trenton St, Ruston, LA 71270-3324.
- What is Peach Tree Dental Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Peach Tree Dental Holdings, LLC is (318) 255-9440.
- Who is the authorized official for Peach Tree Dental Holdings, LLC?
- The authorized official listed on Peach Tree Dental Holdings, LLC's NPPES record is Jesse Roberts, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach Tree Dental Holdings, LLC's NPI active?
- Yes — Peach Tree Dental Holdings, LLC's NPI (1528404795) is active in the NPPES registry as of the last update on 2013-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.