Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bdd of Indiana PC

Organization Dentist · NPI 1366117889

Bdd of Indiana PC is a Dentist in Fort Wayne, Indiana. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10435 Illinois Rd
Fort Wayne, IN 46814-9181
Phone: (260) 469-3671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1366117889
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBdd of Indiana PC
Authorized official Jay Jorbin — Cfo · (312) 805-8590
Other names Holmes Family And Cosmetic Dentistry
NPI enumeratedAugust 16, 2021
Last updated in NPPESApril 19, 2026
Certification dateApril 19, 2026
Mailing address333 W 1st St, Elmhurst, IL 60126-2641

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