SearchLouisianaGeneral Practice Dentistry

Darrell Bourg, D.D.S

NPI 1215053558 · on the registry since 2007 · sole proprietor

Practice

Address
2521 Ames Blvd., Ste. C
Marrero, LA 70072
Phone
(504) 340-9696
Fax
(504) 340-7207
Organisation at this address
Darrell P. Bourg Jr. Dds
Exceptional Dental Of Marrero
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana