Country Club Dental is a Dental Clinic in Baton Rouge, Louisiana. It is located at 16645 Highland Rd Ste J, Baton Rouge, LA and its contact number is 225-214-0100. The authorized person for Country Club Dental is Dr. Darrell Paul Bourg Jr.
who is Dentist of the clinic and their contact number is 504-232-6624. Other organizations associated with this clinic are Country Club Dental, Esthetic Associates Llc, The primary license number for Country Club Dental is 5312 (General Practice) in Louisiana.
Country Club Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Country Club Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Country Club Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 16645 Highland Rd Ste J, Baton Rouge, Louisiana, 70810-6567 |
| Phone: | 225-214-0100 |
| Fax: | 225-214-0103 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Darrell Paul Bourg Jr. |
| Position: | Dentist |
| Contact Number: | 504-232-6624 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Country Club Dental clinic are as mentioned below.
| NPI Number: | 1003970682 |
| NPI Enumeration Date: | 20 Dec, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Country Club Dental | General Practice Dentistry | 1003970682 |
| Esthetic Associates Llc | Dentistry | 1750584538 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Country Club Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 5312 | Louisiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Country Club Dental 16645 Highland Rd Ste J, Baton Rouge, Louisiana |
| Zip: | 70810-6567 |
| Phone Number: | 225-214-0100 |
| Fax Number: | 225-214-0103 |
Patients can reach Country Club Dental at
16645 Highland Rd Ste J, Baton Rouge, Louisiana or can
call to book an appointment on 225-214-0100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.