Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLAY GORDON VANDERWALL, DDS
ActiveCLAY GORDON VANDERWALL, DDS is a Orthodontics healthcare provider located in BOLINGBROOK, Illinois. NPI 1962694737 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1962694737
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2007 (18.956285609874 yrs)
- Last Updated
- Aug 15, 2007
Practice Information
- Address
-
406 W BOUGHTON RDSUITE BBOLINGBROOK, IL, 604401340Browse IL providers · Browse ZIP 60440
- Phone
- 6307598940
- Fax
- 6307599392
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| DEBRA G ALAVI | DDS, MS | 1336221803 |
| DR. OANA BIDA HONEY | D.M.D. | 1326200288 |
| DR. GEORGE ALAMIR | D.D.S., M.S. | 1346505153 |
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.