Individual
DR. JESSE HENTON ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
702 N TRENTON ST, RUSTON, LA 71270-3324
(318) 255-9440
(318) 251-1270
Mailing address
436 HAILE RD, CHATHAM, LA 71226-9554
(318) 255-9440
(318) 251-1270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3586
LA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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