BDD of Illinois P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BDD OF ILLINOIS P.C.

Doing business as

Carol Stream Dental Associates

Practice address

784 W Army Trail Rd
Carol Stream, IL 60188-9297

Phone

(630) 289-8899

NPI assigned

Oct 5, 2021

Last updated

Apr 19, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BDD OF ILLINOIS P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Jorbin

Title

Cfo

Phone

(312) 805-8590

Specialties & licenses 1

Addresses

Other names 1

• Carol Stream Dental Associates Doing business as

Tax ID family

BDD of Illinois PC4 organizations share this tax ID, including this one

Part of

BDD of Illinois PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• BDD of Illinois P.C.

  dba AH Smiles

  • General Practice Dentistry
  • Arlington Heights, IL
  • NPI 1063183044
  NPD tax ID
• BDD of Illinois P.C.

  dba Elgin Dental Associates

  • Dentist
  • Elgin, IL
  • NPI 1376214346
  NPD tax ID
• BDD of Illinois P.C.

  dba AHSmile

  • Dentist
  • Arlington Heights, IL
  • NPI 1609547678
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776556800000",
    "number": "1609548817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 1ST ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262641",
            "telephone_number": "312-805-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889297",
            "telephone_number": "630-289-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDD OF ILLINOIS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDD OF ILLINOIS P.C.",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "JORBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-805-8590"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Stream Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carol Stream Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen A. Baker, M.D.
• Nicole M Barak, PTA
• Thea Isabel Barba, PHARMD
• Sharon Bartsch, PTA
• William Bayer, MD
• Patrick F Bednar, MD
• Mark Richard Bednard, DO
• Jennifer A. Bejaoui, RPH
• John Joseph Berkemeyer
• Courtney Berry Ewasiuk, LMT, NCTMB

• Dentist in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.