Individual provider · Type 1 NPI

Barry Walvoord, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Evanston, IL

NPI number 1497931315 Active

Practice location

1572 Maple Ave, Suite 101
Evanston, IL 60201-4328

Fax (847) 328-1782

Mailing address

1572 Maple Ave., Suite 101
Evanston, IL 60201-4668

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X019-022618 (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 1497931315

Barry Walvoord, DDS's National Provider Identifier is 1497931315, issued on Jan 10, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Evanston, IL. The record was last updated on Jun 23, 2010.