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
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

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