Darrell P Bourg in Marrero - General Practice
Darrell P Bourg - NPI 1215053558
Darrell P Bourg is a General Practice in Marrero, Louisiana. Darrell P Bourg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Darrell P Bourg is 1215053558. The last update date is 2021-02-08.
Darrell P Bourg's current location address is 2521 Ames Blvd., Ste. C, Marrero, Louisiana. You can contact this provider via phone number 5043409696 and fax number 5043407207. The mailing address for Darrell P Bourg is 2521 Ames Blvd., Ste. C, Marrero, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell P Bourg |
|---|---|
| Address | 2521 Ames Blvd., Ste. C, Marrero, Louisiana |
| Phone Number | 5043409696 |
| Fax Number | 5043407207 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1215053558 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2021-02-08 |
Provider Mailing Address Detail
| Address | 2521 Ames Blvd., Ste. C |
|---|---|
| City | Marrero |
| State | Louisiana (LA) |
| Post Code | 700725154 |
| Phone Number | 5043409696 |
| Fax Number | 5043407207 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5312 |
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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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What is the Darrell P Bourg's 1215053558?
The Darrell P Bourg's NPI (National Provider Identifier) Number is 1215053558. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Darrell P Bourg's physical address?
The Darrell P Bourg is physically located at 2521 Ames Blvd., Ste. C, in the city of Marrero, LA, with the postal code 700725154.
What is the area of specialization for Darrell P Bourg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Darrell P Bourg is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215053558 to Darrell P Bourg?
The Centers for Medicare & Medicaid Services assigned the 1215053558 to Darrell P Bourg on 2007-03-21.
When was the information regarding Darrell P Bourg most recently updated?
The details pertaining to the Darrell P Bourg, including its address, specialty, and other relevant information, were last refreshed on 2021-02-08.