Organization
BDD OF INDIANA P.C.
Active
Parent organization
BDD OF INDIANA P.C.
Other names
Ravenwood Dental, McCarroll Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
BDD OF INDIANA P.C.
Authorized official
JAY JORBIN (CFO)
(312) 805-8590
Entity
Organization
Contact information
Practice address
10033 WICKER AVE STE 9, SAINT JOHN, IN 46373-8777
(219) 365-9750
Mailing address
333 W 1ST ST, ELMHURST, IL 60126-2641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
04/19/2026
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