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NPI · 1003970682 · NPPES-sourced

Country Club Dental

ActiveGeneral Practice Dentistry
NPI Number
1003970682
Type 2 · Organisation
Taxonomy Code
1223G0001X
Contact
(225) 214-0100
License LA · 5312
Last Updated
Enumerated
Primary practice addressLA · 70810-6567
16645 Highland Rd Ste JBaton Rouge, LA 70810-6567
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About this NPIWhat this record shows.

NPI 1003970682 is registered to Country Club Dental, a healthcare organisation classified as "General Practice Dentistry" and located at 16645 Highland Rd Ste J in Baton Rouge, Louisiana. The organisation's authorised official is Darrell Bourg. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Country Club Dental accepts. To confirm in-network status with your specific health plan, contact Country Club Dental directly at (225) 214-0100.

Frequently asked

Yes. NPI 1003970682 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (225) 214-0100.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Country Club Dental is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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