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Active NPI 1215053558 Individual Practitioner Male Practitioner

Dr. Darrell P Bourg , DDS

Dentist - General Practice • Marrero, LA

Professional Overview & Biography Verified Profile Summary

Dr. Darrell Bourg, DDS is a registered healthcare professional specializing in Dentist - General Practice in Marrero, LA. Practice services are available at 2521 AMES BLVD., STE. C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2521 Ames Blvd., Ste. C

Marrero, LA 700725154

Telephone 5043409696
Fax 5043407207
Associated Practice Facility / Clinic
🏢 Darrell P. Bourg Jr. Dds Facility NPI 1740344225

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marrero, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Marrero, LA (1587 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License LA 5312

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1396674297

Doctor of Dental Surgery

Dr. Danny Giang , DDS

Dentist - General Practice

NPI 1700314481

Doctor of Dental Surgery

NPI 1912640699

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2012

Registered at 2521 AMES BLVD., STE. C, MARRERO, LA 700725154 (Tel: 5043409696)

📍
Updated Business Mailing Address May 17, 2012

Registered at 2521 AMES BLVD., STE. C, MARRERO, LA 700725154 (Tel: 5043409696)

👤
Provider Name / Credentials Updated May 17, 2012

Recorded as DARRELL BOURG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2012

Dentist (License #5312 in LA)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215053558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: February 08, 2021
Sole Proprietor: Yes

Mailing Address

2521 Ames Blvd., Ste. C

Marrero, LA 700725154

Phone: 5043409696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.