Individual provider · Type 1 NPI

Darrell P. Bourg Jr., DDS

General Practice Dentistry · Marrero, LA

NPI number 1215053558 Active

Practice location

2521 Ames Blvd., Ste. C
Marrero, LA 70072-5154

Call (504) 340-9696 Map

Fax (504) 340-7207

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5312 (LA)

General Practice Dentistry: 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.

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About NPI 1215053558

Darrell P. Bourg Jr., DDS's National Provider Identifier is 1215053558, issued on Mar 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marrero, LA. The record was last updated on Feb 8, 2021.