# BBB OF IN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West 10th Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023503877
- **Authorized official:** JEFF REIBEL (CFO)
- **Authorized official phone:** (502) 254-8500

## Contact information

- **Practice address:** 6443 W 10TH ST STE 204, INDIANAPOLIS, IN 46214-6502
- **Practice address phone:** (317) 754-8486
- **Mailing address:** PO BOX 437169, LOUISVILLE, KY 40253-7169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 02/03/2025