Bdd Eds PC

NPI #1164390985 in Roscoe, Illinois

Provider Information

NPI Number: 1164390985
Entity Type: Organization
Organization Name: Bdd Eds PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 24, 2025
Last Updated: Oct 24, 2025

Practice Location

Address: 5382 WILLIAMS DR
City: Roscoe
State: Illinois
ZIP Code: 61073-7320
Phone: (815) 623-9292

Authorized Official

Name: STEPHANIE MOORE
Title: DIRECTOR OF RCM
Phone: (832) 704-4262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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