BDD OF INDIANA P.C.
NPI 1366117889
Dentist - General Practice in Fort Wayne, IN

Active since August 16, 2021
10435 ILLINOIS RD, FORT WAYNE, IN 46814(260) 469-3671 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2026, Jul 26, 2024, Aug 17, 2023 and 4 more (7 updates tracked since 2021).

About Bdd Of Indiana P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BDD OF INDIANA P.C. (NPI 1366117889), doing business as Holmes Family And Cosmetic Dentistry, is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since August 2021. The organization lists Jay Jorbin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366117889
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBDD OF INDIANA P.C.
Location Address10435 ILLINOIS RDFort Wayne, IN 46814-9181
Mailing Address333 W 1st StElmhurst, IL 60126-2641 · (312) 805-8590
Organization SubpartYes
Authorized OfficialJay JorbinCfo · (312) 805-8590
Enumeration DateAugust 16, 2021
Last NPPES UpdateApril 19, 20267 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
NPI 1366117889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
10435 ILLINOIS RD, Fort Wayne, IN 46814

Other Names 1

Doing Business AsHolmes Family And Cosmetic Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
10435 ILLINOIS RD
FORT WAYNE, IN 46814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bdd Of Indiana P.C.'s NPI number?

The NPI number for Bdd Of Indiana P.C. is 1366117889. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Holmes Family and Cosmetic Dentistry.

Where is Bdd Of Indiana P.C. located?

Bdd Of Indiana P.C. is located at 10435 Illinois Rd, Fort Wayne, IN 46814. The listed phone number is (260) 469-3671.

What is Bdd Of Indiana P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bdd Of Indiana P.C. was last updated on April 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.