Individual provider · Type 1 NPI

William K. Vanderwaal, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bloomington, IL

NPI number 1720004070 Active

Practice location

2103 E Washington St
Bloomington, IL 61701-4310

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

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 1720004070

William K. Vanderwaal, DDS's National Provider Identifier is 1720004070, issued on Jul 13, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bloomington, IL. The record was last updated on Oct 18, 2026.