Bdd of Indiana P.c.
NPI #1538834064 in Saint John, Indiana
Provider Information
- NPI Number
- 1538834064
- Entity Type
- Organization
- Organization Name
- Bdd of Indiana P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BDD OF INDIANA P.C.
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 16, 2021
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 10033 WICKER AVE STE 9
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8777
- Phone
- (219) 365-9750
Authorized Official
- Name
- STEPHANIE MOORE
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (832) 704-4262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Charles T. Mccarroll, D.D.S. | |
| DR. Stephen Fugaj, D.D.S. | |
| DR. Saba Najamuddin, D.D.S. |
Organizations
| Provider Name | |
|---|---|
| St John Smiles PC | |
| Fontaine Dental Group |
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