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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILLIAM K. VANDERWAAL, D.D.S.

Active Sole Proprietor

DR. WILLIAM K. VANDERWAAL, D.D.S. is a Orthodontics healthcare provider located in BLOOMINGTON, Illinois. NPI 1720004070 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · BLOOMINGTON, IL

Registration Details

NPI Number
1720004070
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2006 (20.052620316847 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
2103 E WASHINGTON ST
BLOOMINGTON, IL, 617014310
Browse IL providers · Browse ZIP 61701
Phone
3096623355
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in BLOOMINGTON, IL

Name Credential NPI
DR. KURT T. BOWERS D.D.S. 1639222458
ROBERT LAUDER DDS, MS 1720255839
DR. SCOTT MATHEW PETERSON DDS, MS 1134396336
DR. FRANCIS PATRICK GREEN DDS,MS 1285891192
DR. KATE ELIZABETH FINLEN D.D.S., M.S. 1740664242
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.