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Darrell P. Bourg Jr. Dds
General Practice Dentistry in Marrero, Louisiana
NPI 1740344225

Darrell P. Bourg Jr. Dds is a General Practice Dentistry based in Jefferson, LA and is specialized in General Practice. Darrell P. Bourg Jr. Dds practices in Marrero, LA. The NPI Number for Darrell P. Bourg Jr. Dds is 1740344225 and holds a License No. 5747 (Louisiana).

The current practice location address for Darrell P. Bourg Jr. Dds 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, 70121-2240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740344225
Provider Name
Darrell P. Bourg Jr. Dds
Credential
Provider Entity Type
Organization
Address
2521 Ames Blvd Ste C, Marrero, LA, 70121-2240
Phone Number
504-340-9696
Fax Number
504-340-7207
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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.
5747 (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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