Organization
BDD OF MICHIGAN P.C.
Active
Parent organization
BDD OF MICHIGAN PC
Other names
Derksen Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BDD OF MICHIGAN PC
Authorized official
JAY JORBIN (CFO)
(312) 805-8590
Entity
Organization
Contact information
Practice address
2410 LAKE LANSING RD STE 2, LANSING, MI 48912-3659
(517) 371-5342
Mailing address
PO BOX 8250, CAROL STREAM, IL 60197-8250
(517) 394-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
04/19/2026
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