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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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