OrganizationActive
Darrell P. Bourg Jr. DDS
NPI 1740344225 · General Practice Dentistry · Marrero, LA
Darrell P. Bourg Jr. DDS is a General Practice Dentistry organization in Marrero, LA (NPI 1740344225).
Provider details
- NPI number
- 1740344225
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Darrell Bourg, Dentist(504) 340-9696
- License
- 5747 (LA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2521 Ames Blvd Ste C
Marrero, LA 70072-5154
Phone: (504) 340-9696
Fax: (504) 340-7207
Street-level locationGet directions
Mailing address
21 San Carlos Ave
Jefferson, LA 70121-2240
Other names (DBA / former)
- Doing business as
- Louisiana Dental Spa
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Darrell P. Bourg Jr. DDS's NPI number?
- Darrell P. Bourg Jr. DDS's National Provider Identifier (NPI) is 1740344225, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Darrell P. Bourg Jr. DDS?
- Darrell P. Bourg Jr. DDS is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Darrell P. Bourg Jr. DDS located?
- Darrell P. Bourg Jr. DDS's practice location on file with NPPES is 2521 Ames Blvd Ste C, Marrero, LA 70072-5154.
- What is Darrell P. Bourg Jr. DDS's phone number?
- The practice phone number listed in the NPPES registry for Darrell P. Bourg Jr. DDS is (504) 340-9696.
- Who is the authorized official for Darrell P. Bourg Jr. DDS?
- The authorized official listed on Darrell P. Bourg Jr. DDS's NPPES record is Darrell Bourg, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Darrell P. Bourg Jr. DDS's NPI active?
- Yes — Darrell P. Bourg Jr. DDS's NPI (1740344225) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.