| Exceptional Dental Of Kenner | |
|
1305 W Esplanade Ave Kenner LA 70065-2744 | |
| (504) 469-6333 | |
| (504) 469-6355 |
| Full Name | Exceptional Dental Of Kenner |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1305 W Esplanade Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Darrell Philip Bourg (DENTIST/OWNER) |
| Authorized Official Contact | 5044696333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Kenner 1305 W Esplanade Ave Kenner LA 70065-2744 Ph: (504) 469-6333 | Exceptional Dental Of Kenner 1305 W Esplanade Ave Kenner LA 70065-2744 Ph: (504) 469-6333 |
| NPI Number | 1194035352 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 12/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194035352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 5312 (Louisiana) | Secondary |
Jeffrey W. Dongieux, D.d.s. A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 W Esplanade Ave, Suite 101, Kenner, LA 70065 Phone: 504-468-8300 Fax: 504-468-8307 | |
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