DR. JESSE HENTON ROBERTS JR. (NPI# 1114076718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114076718 |
| Entity Type | Individual |
| Full Name | DR. JESSE HENTON ROBERTS JR. |
| Credential | DDS |
| Practice Address |
702 N Trenton St Ruston LA 71270-3324 |
| Mailing Address |
436 Haile Rd Chatham LA 71226-9554 |
| Practice Telephone | 3182559440 |
| Practice Fax Number | 3182511270 |
| Mailing Telephone | 3182559440 |
| Mailing Fax Number | 3182511270 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3586 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1811011570 | Jesse Andrew Roberts | Internal Medicine | 2900 Clay Edwards Dr, Northcare Hospice, Kansas City, MO 64116-3221 | 2007-03-19 |
| 1326197930 | Jesse Henton Roberts IIi | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-01-10 |
| 1326038456 | Jesse David Roberts Jr. | Anesthesiology | 55 Fruit Street Fnd 442, Massachusetts General Hospital New Born Service, Boston, MA 02114-2696 | 2005-10-28 |
| 1396375135 | Jesse Randolph Roberts | Day Training/Habilitation Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2020-01-21 |
| 1568863991 | Jesse C Roberts | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2014-09-04 |
| 1093133944 | Jesse Lorin Roberts | Orthopaedic Surgery | 1959 Ne Pacific St, Seattle, WA 98195-2570 | 2014-03-28 |
| 1497050553 | Jesse Leon Roberts | Chiropractor | 1701 S Florissant Rd, Saint Louis, MO 63121-1131 | 2011-01-21 |
| 1558529776 | Jesse Q Roberts | Physician Assistant | 49 Spring St, 1st Floor, Scarborough, ME 04074-8926 | 2008-05-23 |
| Street Address |
702 N TRENTON ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326197930 | Jesse Henton Roberts IIi | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-01-10 |
| 1962997379 | Carson Dahl | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2018-06-27 |
| 1528404795 | Peach Tree Dental Holdings, LLC | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2013-05-15 |
| 1154591501 | Peach Tree Dental Management LLC | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2008-03-01 |
| 1235330952 | Jay Howell | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376763508 | Albert Grover Graham Jr. | Dentist | 209 West Arizona, Ruston, LA 71270 | 2007-04-30 |
| 1942425996 | Kenneth Lane Cox | Dentist | 306 E Reynolds Dr, Suite B, Ruston, LA 71270-2817 | 2007-04-16 |
| 1124148689 | J Lamar Johnston | Dentist | 306 E Reynolds Dr Ste 1, Ruston, LA 71270-2817 | 2007-03-29 |
| 1568590958 | Rhonda Renee Pruitt | Dentist | 7412 Highway 80, Ruston, LA 71270-1430 | 2007-02-28 |
| 1326197930 | Jesse Henton Roberts IIi | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2007-01-10 |
| 1114013182 | Woody Lyle Smithey Jr. | Dentist | 900 S Vienna St, Ruston, LA 71270-5830 | 2006-10-05 |
| 1053420240 | Wesley O. Lynch IIi | Dentist | 300 E Reynolds Dr, Ruston, LA 71270-2817 | 2006-08-30 |
| 1164047304 | Shawn David Murphy Jr. | Dentist | 306 E Reynolds Dr Ste 1, Ruston, LA 71270-2847 | 2020-06-13 |
| 1528404795 | Peach Tree Dental Holdings, LLC | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2013-05-15 |
| 1154591501 | Peach Tree Dental Management LLC | Dentist | 702 N Trenton St, Ruston, LA 71270-3324 | 2008-03-01 |
| Find all providers in RUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.