1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN ROOTS DENTISTRY LLC
NPI 1154859320
Dentist - General Practice in Shreveport, LA

Active since May 31, 2017
734 N ASHLEY RIDGE LOOP, SHREVEPORT, LA 71106(318) 701-8885(318) 701-8887 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Jan 13, 2026, Jul 23, 2018 and 2 more (5 updates tracked since 2017).

About Southern Roots Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ROOTS DENTISTRY LLC (NPI 1154859320), doing business as Southern Roots Dentistry, is a healthcare organization registered as a general practice in Shreveport, Louisiana and active in the NPI registry since May 2017. The organization lists James Daniel Lowder, Owner, as its authorized official.

NPPES Registry Identity

NPI1154859320
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN ROOTS DENTISTRY LLC
Location Address734 N ASHLEY RIDGE LOOPShreveport, LA 71106
Mailing Address734 N Ashley Ridge LoopShreveport, LA 71106-7209 · (318) 701-8885 · Fax (318) 701-8887
Phone(318) 701-8885
Fax(318) 701-8887
Organization SubpartNo
Authorized OfficialJames Daniel LowderOwner · (318) 272-9835
Enumeration DateMay 31, 2017
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1154859320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in LA · 6747✔ Licensed in LA · 6750
Definition
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.
734 N ASHLEY RIDGE LOOP, Shreveport, LA 71106
Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern Roots Dentistry

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID ASHLEY MD DMD ORAL SURGERY GROUP, A PROFESSIONAL DENTAL CORPORATION
Dentist (Oral and Maxillofacial Surgery)
734 N ASHLEY RIDGE LOOP
SHREVEPORT, LA 71106
Caddo Parish (337) 541-2260
JAMES LOWDER DDS
Dentist (General Practice)
734 N ASHLEY RIDGE LOOP
SHREVEPORT, LA 71106
Caddo Parish (318) 701-8885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Roots Dentistry LLC's NPI number?

The NPI number for Southern Roots Dentistry LLC is 1154859320. It was assigned to this organization in the NPPES registry on May 31, 2017. The provider is doing business as Southern Roots Dentistry.

Where is Southern Roots Dentistry LLC located?

Southern Roots Dentistry LLC is located at 734 N Ashley Ridge Loop, Shreveport, LA 71106. The listed phone number is (318) 701-8885.

What is Southern Roots Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southern Roots Dentistry LLC was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.