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

Sr Benton LLC

Organization Dentist · NPI 1417703398

Sr Benton LLC is a Dentist in Benton, Louisiana. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5606 Benton Rd Ste A
Benton, LA 71006-3408
Phone: (318) 741-5665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1417703398
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Moore — Owner · (318) 422-6900
Other names Southern Roots Dentistry; Southern Roots Dentistry
NPI enumeratedApril 30, 2024
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address734 N Ashley Ridge Loop, Shreveport, LA 71106-7209