Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHERN ROOT DENTISTRY LLC
Active OrganizationSOUTHERN ROOT DENTISTRY LLC is a General Dentistry organization located in SHREVEPORT, Louisiana. NPI 1154859320 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHREVEPORT, LA
Registration Details
- NPI Number
- 1154859320
- Provider Type
- Organization
- NPI Issued
- May 31, 2017 (9.2181785314833 yrs)
- Last Updated
- Jan 13, 2026
- Licenses
-
6750 (LA)6747 (LA)
Practice Information
- Address
-
734 N ASHLEY RIDGE LOOPSHREVEPORT, LA, 71106Browse LA providers · Browse ZIP 71106
- Phone
- 3187018885
- Fax
- 3187018887
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Organizations in SHREVEPORT, LA
| Name | NPI |
|---|---|
| DARRELL I JOBE, JAMES M COTTON, ET AL MBR | 1831118983 |
| ADAM P CORMIER DDS APDC | 1164538351 |
| HAROLD W KING DDS APDC | 1467555805 |
| SOUTHFIELD FAMILY DENTISTRY, INC. | 1912092651 |
| COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION | 1447337787 |
| HOWARD SIMS DENTAL FACILITY | 1992847701 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.