BDD Alcd PC

General Practice Dentistry · Crystal Lake, IL

Organization Active NPI

NPI number 1275400129

Practice location

720 Cog Cir Ste H
Crystal Lake, IL 60014-7362
Phone
(779) 220-4396

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NPI record

NPI
1275400129
Entity type
Organization (Type 2)
Enumeration date
October 23, 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

  • Advanced Laser & Cosmetic Dentistry

About BDD Alcd PC

BDD Alcd PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 720 Cog Cir Ste H, Crystal Lake, IL 60014-7362. The NPI number 1275400129 was assigned on October 23, 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 Alcd PC?

The NPI number is 1275400129.

What is the phone number of BDD Alcd PC?

The phone number listed for the practice location is (779) 220-4396.

Where is BDD Alcd PC located?

720 Cog Cir Ste H, Crystal Lake, IL 60014-7362.

What is the taxonomy code for BDD Alcd 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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