# BDD OF INDIANA P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BDD OF INDIANA P.C.
- **Other names:** Holmes Family and Cosmetic Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366117889
- **Legal business name:** BDD OF INDIANA P.C.
- **Authorized official:** JAY JORBIN (CFO)
- **Authorized official phone:** (312) 805-8590

## Contact information

- **Practice address:** 10435 ILLINOIS RD, FORT WAYNE, IN 46814-9181
- **Practice address phone:** (260) 469-3671
- **Mailing address:** 333 W 1ST ST, ELMHURST, IL 60126-2641
- **Mailing address phone:** (312) 805-8590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 04/19/2026