DR. WILLIAM K. VANDERWAAL D.D.S.
NPI 1720004070
Dentist - Orthodontics and Dentofacial Orthopedics in Bloomington, IL

Active since July 13, 2006
2103 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William K. Vanderwaal D.d.s. NPPES

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

DR. WILLIAM K. VANDERWAAL D.D.S. (NPI 1720004070) is an individual orthodontics and dentofacial orthopedics provider in Bloomington, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720004070
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. WILLIAM K. VANDERWAALCredential: D.D.S.
Location Address2103 E WASHINGTON STBloomington, IL 61701-4310
Mailing Address2103 E Washington StBloomington, IL 61701-4310 · (309) 662-3355
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720004070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2103 E WASHINGTON ST, Bloomington, IL 61701

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
2103 E WASHINGTON ST, STE 3E
BLOOMINGTON, IL 61701
Optometrist
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701
Dentist
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701
Dentist (Periodontics)
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701
Dentist (General Practice)
2103 E WASHINGTON ST, SUITE 3
BLOOMINGTON, IL 61701
Dentist
2103 E WASHINGTON ST
BLOOMINGTON, IL 61701
Dentist (General Practice)
2103 E WASHINGTON ST, SUITE 1C
BLOOMINGTON, IL 61701
Dentist
2103 E WASHINGTON ST, SUITE 1C
BLOOMINGTON, IL 61701

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 William Vanderwaal's NPI number?

The NPI number for William Vanderwaal is 1720004070. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is William Vanderwaal located?

William Vanderwaal practices at 2103 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3355.

What is William Vanderwaal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for William Vanderwaal was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.