| Southern Root Dentistry Llc | |
|
734 N Ashley Ridge Loop Shreveport LA 71106 | |
| (318) 701-8885 | |
| (318) 701-8887 |
| Full Name | Southern Root Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 734 N Ashley Ridge Loop, Shreveport, Louisiana |
| Authorized Official Name and Position | James Daniel Lowder (OWNER) |
| Authorized Official Contact | 3182729835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Root Dentistry Llc 734 N Ashley Ridge Loop Shreveport LA 71106 Ph: (318) 701-8885 | Southern Root Dentistry Llc 734 N Ashley Ridge Loop Shreveport LA 71106 Ph: (318) 701-8885 |
| NPI Number | 1154859320 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 01/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154859320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6750 (Louisiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 6747 (Louisiana) | Primary |
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