Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Root Dentistry LLC

Organization General Practice Dentistry · NPI 1154859320

Southern Root Dentistry LLC is a General Practice Dentistry in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.

Licensed in
LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

734 N Ashley Ridge Loop
Shreveport, LA 71106
Phone: (318) 701-8885
Fax: (318) 701-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6747 (LA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6750 (LA)

Record details

NPI number1154859320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Lowder — Owner · (318) 272-9835
Other names Southern Roots Dentistry; Southern Roots Dentistry
NPI enumeratedMay 31, 2017
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address734 N Ashley Ridge Loop, Shreveport, LA 71106

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