Organization
BDD REB PC
Active
Other names
Butler Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAY JORBIN (CFO)
(312) 805-8590
Entity
Organization
Contact information
Practice address
127 W LOCKWOOD AVE, SAINT LOUIS, MO 63119-2915
(314) 961-6406
Mailing address
333 W 1ST ST, ELMHURST, IL 60126-2641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
04/19/2026
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