Exceptional Dental of Kenner
NPI 1194035352ActiveOrganization· Dentist, General Practice· Kenner, LA
Dentist, General Practice in Kenner, Louisiana, registered in NPPES in October 2010. The authorized official on file is Darrell Philip Bourg, DDS, Dentist/Owner.
Overview
| NPI | 1194035352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2010 |
| Last updated in NPPES | Dec 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | 5312 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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