CLAY GORDON VANDERWALL DDS
NPI 1962694737
Dentist - Orthodontics and Dentofacial Orthopedics in Bolingbrook, IL

Active since August 15, 2007
406 W BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440(630) 759-8940(630) 759-9392 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clay Gordon Vanderwall Dds NPPES

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

CLAY GORDON VANDERWALL DDS (NPI 1962694737) is an individual orthodontics and dentofacial orthopedics provider in Bolingbrook, Illinois and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1962694737
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameCLAY GORDON VANDERWALLCredential: DDS
Location Address406 W BOUGHTON RD, SUITE BBolingbrook, IL 60440-1340
Mailing Address406 W Boughton Rd, Suite BBolingbrook, IL 60440-1340 · (630) 759-8940 · Fax (630) 759-9392
Fax(630) 759-9392
Sole ProprietorNo
Enumeration DateAugust 15, 2007
NPI 1962694737 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.
406 W BOUGHTON RD, Bolingbrook, IL 60440

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Dental Hygienist
406 W BOUGHTON RD, SUITE B
BOLINGBROOK, IL 60440
Dental Hygienist
406 W BOUGHTON RD, B
BOLINGBROOK, IL 60440
Dentist
406 W BOUGHTON RD
BOLINGBROOK, IL 60440
Dental Hygienist
406 W BOUGHTON RD, SUITE B
BOLINGBROOK, IL 60440
Dental Hygienist
406 W BOUGHTON RD, STE B GROVE DENTAL
BOLINGBROOK, IL 60440
Dentist
406 W BOUGHTON RD
BOLINGBROOK, IL 60440

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 Clay Vanderwall's NPI number?

The NPI number for Clay Vanderwall is 1962694737. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Clay Vanderwall located?

Clay Vanderwall practices at 406 W Boughton Rd Suite B, Bolingbrook, IL 60440. The listed phone number is (630) 759-8940.

What is Clay Vanderwall's specialty?

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

What insurance does Clay Vanderwall accept?

Health plans from Delta Dental of North Carolina, Florida Combined Life and Humana list Clay Vanderwall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clay Vanderwall was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.