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BDD OF INDIANA P.C.
NPI 1538834064
Dentist in Saint John, IN

Active since August 16, 2021
10033 WICKER AVE STE 9, SAINT JOHN, IN 46373(219) 365-9750 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2026, Feb 3, 2026, Jul 26, 2024 and 3 more (6 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 1538834064), doing business as Mccarroll Dental, is a healthcare organization registered as a dentist in Saint John, Indiana and active in the NPI registry since August 2021. The organization lists Jay Jorbin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538834064
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBDD OF INDIANA P.C.
Location Address10033 WICKER AVE STE 9Saint John, IN 46373-8777
Mailing Address333 W 1st StElmhurst, IL 60126-2641
Phone(219) 365-9750
Organization SubpartYes
Authorized OfficialJay JorbinCfo · (312) 805-8590
Enumeration DateAugust 16, 2021
Last NPPES UpdateApril 19, 20266 updates tracked since enumeration
NPPES CertifiedApril 19, 2026
✔ NPI 1538834064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10033 WICKER AVE STE 9, Saint John, IN 46373
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Other Names 2

Doing Business AsMccarroll Dental
Doing Business AsRavenwood Dental

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 2

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

CHARLES T. MCCARROLL D.D.S.
Dentist
10033 WICKER AVE STE 9
SAINT JOHN, IN 46373
Lake County (219) 365-9750
PHILIP JAMES MANGIARACINA DMD
Dentist (General Practice)
10033 WICKER AVE STE 9
SAINT JOHN, IN 46373
Lake County (219) 365-9750

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 1538834064. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as McCarroll Dental and Ravenwood Dental.

Where is Bdd Of Indiana P.C. located?

Bdd Of Indiana P.C. is located at 10033 Wicker Ave Ste 9, Saint John, IN 46373. The listed phone number is (219) 365-9750.

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

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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 4 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.