BDD Eds PC

General Practice Dentistry · Roscoe, IL

Organization Active NPI

NPI number 1164390985

Practice location

5382 Williams Dr
Roscoe, IL 61073-7320
Phone
(815) 623-9292

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NPI record

NPI
1164390985
Entity type
Organization (Type 2)
Enumeration date
October 24, 2025
Last updated
April 19, 2026
Certified
April 19, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

333 W 1st St
Elmhurst, IL 60126-2641

Authorized official

Name
Jay Jorbin
Title
CFO
Phone
(312) 805-8590

Other names

  • Elite Dental Studio

About BDD Eds PC

BDD Eds PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5382 Williams Dr, Roscoe, IL 61073-7320. The NPI number 1164390985 was assigned on October 24, 2025 and the record was last updated on April 19, 2026.

The authorized official for this organization is Jay Jorbin, CFO.

Frequently asked questions

What is the NPI number of BDD Eds PC?

The NPI number is 1164390985.

What is the phone number of BDD Eds PC?

The phone number listed for the practice location is (815) 623-9292.

Where is BDD Eds PC located?

5382 Williams Dr, Roscoe, IL 61073-7320.

What is the taxonomy code for BDD Eds PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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