BDD Reb PC

General Practice Dentistry · Saint Louis, MO

Organization Active NPI

NPI number 1356219174

Practice location

127 W Lockwood Ave
Saint Louis, MO 63119-2915
Phone
(314) 961-6406

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NPI record

NPI
1356219174
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

  • Butler Dental

About BDD Reb PC

BDD Reb PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 127 W Lockwood Ave, Saint Louis, MO 63119-2915. The NPI number 1356219174 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 Reb PC?

The NPI number is 1356219174.

What is the phone number of BDD Reb PC?

The phone number listed for the practice location is (314) 961-6406.

Where is BDD Reb PC located?

127 W Lockwood Ave, Saint Louis, MO 63119-2915.

What is the taxonomy code for BDD Reb 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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