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Dr. Darrell P Bourg JR., DDS
General Practice Dentistry in Marrero, Louisiana
NPI 1215053558

Darrell P Bourg JR. is a General Practice Dentistry based in Marrero, LA and is specialized in General Practice. Darrell P Bourg JR. practices in Marrero, LA and has the professional credentials of DDS. The NPI Number for Darrell P Bourg JR. is 1215053558 and holds a License No. 5312 (Louisiana).

The current practice location address for Darrell P Bourg JR. is 2521 Ames Blvd., Ste. C, Marrero, LA and can be reached out via phone at 504-340-9696 and via fax at 504-340-7207.

Location: 2521 Ames Blvd., Ste. C, Marrero, LA, 70072-5154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215053558
Provider Name
Darrell P Bourg JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2521 Ames Blvd., Ste. C, Marrero, LA, 70072-5154
Phone Number
504-340-9696
Fax Number
504-340-7207
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2521 Ames Blvd., Ste. C
City
Marrero
State
Louisiana
Zip
70072-5154
Phone Number
504-340-9696
Fax Number
504-340-7207
person
Provider Business Mailing Address Details
Address
2521 Ames Blvd., Ste. C
City
Marrero
State
Louisiana
Zip
70072-5154
Phone Number
504-340-9696
Fax Number
504-340-7207
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5312 (Louisiana)
Definition
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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