Organization · Type 2 NPI

Southern Roots Dentistry LLC

General Practice Dentistry · Shreveport, LA

NPI number 1154859320 Active

Practice location

734 N Ashley Ridge Loop
Shreveport, LA 71106

Fax (318) 701-8887

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	6747 (LA)
General Practice Dentistry	1223G0001X	6750 (LA)

General Practice Dentistry: 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.

2 other providers at this address

Other general practice dentistry providers in Shreveport

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NPI record

NPI: 1154859320
Entity type: Organization (Type 2)
Issued: May 31, 2017
Last updated: Oct 14, 2026
Status: Active

Other names

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Southern Roots Dentistry · doing business as
Southern Roots Dentistry · doing business as

Authorized official

Dr. James Daniel Lowder, DDS
Owner
(318) 272-9835

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About NPI 1154859320

Southern Roots Dentistry LLC's National Provider Identifier is 1154859320, issued on May 31, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Oct 14, 2026.