Individual provider · Type 1 NPI

Bruce Sonnenberg Wardell, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Glen Ellyn, IL

NPI number 1437138047 Active

Practice location

45 S Park Blvd, Suite 220
Glen Ellyn, IL 60137-6280

Call (630) 469-6200 Map

Fax (630) 469-6203

Mailing address

1622 Jeanel Ln
Aurora, IL 60502-9635

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021.002325 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1437138047

Bruce Sonnenberg Wardell, DMD's National Provider Identifier is 1437138047, issued on Jan 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glen Ellyn, IL. The record was last updated on Aug 21, 2015.