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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DARRELL P. BOURG JR. DDS

Active Organization

DARRELL P. BOURG JR. DDS is a General Dentistry organization located in MARRERO, Louisiana. NPI 1740344225 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MARRERO, LA

Registration Details

NPI Number
1740344225
Provider Type
Organization
NPI Issued
Dec 20, 2006 (19.652610239079 yrs)
Last Updated
Aug 22, 2020
License
5747 (LA)

Practice Information

Address
2521 AMES BLVD STE C
MARRERO, LA, 700725154
Browse LA providers · Browse ZIP 70072
Phone
5043409696
Fax
5043407207
Primary Specialty
General Dentistry
1223G0001X
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.