Southern Pines Dental, LLC
Southern Pines Dental, LLC provides General Practice Dentistry in Arcadia, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1416 Hazel StArcadia, LA 71001-4114 Not confirmed with CMS for 10 years — call before visiting
Phone: (318) 855-1426
Fax: (318) 579-5038
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3586 (LA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 6627 (LA) |
Record details
| NPI number | 1922457175 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jesse Roberts — Owner/Dentist · (318) 855-1426 |
| NPI enumerated | June 8, 2016 |
| Last updated in NPPES | June 8, 2016 |
| Mailing address | 1416 Hazel St., Arcadia, LA 71001 |
Other providers in Arcadia
-
Dr. Kyle Gresham, DDS
1416 Hazel St, Arcadia, LA 71001-4114 · (318) 855-1426