WARDELL ORTHODONTICS
NPI 1063954477
Clinic/Center - Dental in Glen Ellyn, IL

Active since November 16, 2016
45 S PARK BLVD, SUITE 220, GLEN ELLYN, IL 60137(630) 469-6200(630) 469-6203 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wardell Orthodontics NPPES

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

WARDELL ORTHODONTICS (NPI 1063954477) is a healthcare organization registered as a dental in Glen Ellyn, Illinois and active in the NPI registry since November 2016. The organization lists Bruce S. Wardell, President, as its authorized official.

NPPES Registry Identity

NPI1063954477
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGLEN ELLYN ORTHODONTICS, PC
Location Address45 S PARK BLVD, SUITE 220Glen Ellyn, IL 60137-6280
Mailing Address45 S Park Blvd, Suite 220Glen Ellyn, IL 60137-6280 · (630) 469-6200 · Fax (630) 469-6203
Fax(630) 469-6203
Organization SubpartNo
Authorized OfficialBruce S. WardellPresident · (630) 697-0334
Enumeration DateNovember 16, 2016
NPI 1063954477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IL · 021.002325
45 S PARK BLVD, Glen Ellyn, IL 60137

Other Names 1

Doing Business AsWardell Orthodontics

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
45 S PARK BLVD, SUITE 200
GLEN ELLYN, IL 60137
Dentist (Pediatric Dentistry)
45 S PARK BLVD, SUITE #105
GLEN ELLYN, IL 60137
Counselor (Mental Health)
45 S PARK BLVD
GLEN ELLYN, IL 60137
Dentist (Endodontics)
45 S PARK BLVD, SUITE 225
GLEN ELLYN, IL 60137
Psychologist (Clinical)
45 S PARK BLVD, SUITE 355
GLEN ELLYN, IL 60137
Dentist
45 S PARK BLVD, STE 190
GLEN ELLYN, IL 60137
Counselor (Professional)
45 S PARK BLVD
GLEN ELLYN, IL 60137
Physical Medicine & Rehabilitation
45 S PARK BLVD, SUITE 175
GLEN ELLYN, IL 60137

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 Glen Ellyn Orthodontics, PC's NPI number?

The NPI number for Glen Ellyn Orthodontics, PC is 1063954477. It was assigned to this organization in the NPPES registry on November 16, 2016. The provider is doing business as Wardell Orthodontics.

Where is Glen Ellyn Orthodontics, PC located?

Glen Ellyn Orthodontics, PC is located at 45 S Park Blvd Suite 220, Glen Ellyn, IL 60137. The listed phone number is (630) 469-6200.

What is Glen Ellyn Orthodontics, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Glen Ellyn Orthodontics, PC was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.