SOUTHERN ROOT 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: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Jul 23, 2018, Jun 14, 2017 and 1 more (4 updates tracked since 2017).

About Southern Root Dentistry Llc NPPES

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

SOUTHERN ROOT 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 ROOT DENTISTRY LLC
Location Address734 N ASHLEY RIDGE LOOPShreveport, LA 71106
Mailing Address734 N Ashley Ridge LoopShreveport, LA 71106 · (318) 701-8885 · Fax (318) 701-8887
Fax(318) 701-8887
Organization SubpartNo
Authorized OfficialJames Daniel LowderOwner · (318) 272-9835
Enumeration DateMay 31, 2017
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 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

Other Names 1

Doing Business AsSouthern Roots Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Dentist (Oral and Maxillofacial Surgery)
734 N ASHLEY RIDGE LOOP
SHREVEPORT, LA 71106
Dentist (General Practice)
734 N ASHLEY RIDGE LOOP
SHREVEPORT, LA 71106

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 Root Dentistry LLC's NPI number?

The NPI number for Southern Root 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 Root Dentistry LLC located?

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

What is Southern Root 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 Root Dentistry LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.