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LOUISIANA DENTAL SPA
NPI 1740344225
Dentist - General Practice in Marrero, LA

Active since December 20, 2006
2521 AMES BLVD STE C, MARRERO, LA 70072(504) 340-9696(504) 340-7207 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Louisiana Dental Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOUISIANA DENTAL SPA (NPI 1740344225) is a healthcare organization registered as a general practice in Marrero, Louisiana and active in the NPI registry since December 2006. The organization lists Darrell Paul Bourg, Dentist, as its authorized official.

NPPES Registry Identity

NPI1740344225
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDARRELL P. BOURG JR. DDS
Location Address2521 AMES BLVD STE CMarrero, LA 70072-5154
Mailing Address21 San Carlos AveJefferson, LA 70121-2240 · (504) 621-6338 · Fax (504) 340-7207
Phone(504) 340-9696
Fax(504) 340-7207
Organization SubpartNo
Authorized OfficialDarrell Paul BourgDentist · (504) 340-9696
Enumeration DateDecember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740344225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 5747
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.
2521 AMES BLVD STE C, Marrero, LA 70072
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Other Names 1

Doing Business AsLouisiana Dental Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEPTIONAL DENTAL OF MARRERO
Dentist (General Practice)
2521 AMES BLVD STE C
MARRERO, LA 70072
Jefferson Parish (504) 340-9696
DR. KATE MARIE ROEMERSHAUSER DDS
Dentist
2521 AMES BLVD STE C
MARRERO, LA 70072
Jefferson Parish (504) 340-9696
DR. DANNY GIANG DDS
Dentist (General Practice)
2521 AMES BLVD STE C
MARRERO, LA 70072
Jefferson Parish (504) 340-9696
SARAH RUSTOM DDS
Dentist
2521 AMES BLVD STE C
MARRERO, LA 70072
Jefferson Parish (504) 340-9696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrell P. Bourg Jr. Dds's NPI number?

The NPI number for Darrell P. Bourg Jr. Dds is 1740344225. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Louisiana Dental Spa.

Where is Darrell P. Bourg Jr. Dds located?

Darrell P. Bourg Jr. Dds is located at 2521 Ames Blvd Ste C, Marrero, LA 70072. The listed phone number is (504) 340-9696.

What is Darrell P. Bourg Jr. Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Darrell P. Bourg Jr. Dds was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.