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Organization
SOUTHERN ROOT DENTISTRY LLC
Active
Organization
SOUTHERN ROOT DENTISTRY LLC
Active
Other names
Southern Roots Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DANIEL LOWDER DDS (OWNER)
(318) 272-9835
Entity
Organization
Contact information
Practice address
734 N ASHLEY RIDGE LOOP, SHREVEPORT, LA 71106
(318) 701-8885
(318) 701-8887
Mailing address
734 N ASHLEY RIDGE LOOP, SHREVEPORT, LA 71106
(318) 701-8885
(318) 701-8887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6747
LA
1223G0001X
General Practice Dentistry
6750
LA
Other
Enumeration date
05/31/2017
Last updated
01/13/2026
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