Bruce S. Wardell DMD, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.002325 Issued in IL

Legal business name

BRUCE S. WARDELL DMD, PC

Doing business as

Wardell Orthodontics

Practice address

1000 Grand Canyon Pkwy
Suite 305
Hoffman Estates, IL 60169-1705

Phone

(847) 884-0250

Fax

(847) 884-1967

NPI assigned

Mar 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce S Wardell, D.M.D.

Title

President

Phone

(630) 697-0334

Specialties & licenses 1

Addresses

Other names 1

• Wardell Orthodontics Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1427443399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GRAND CANYON PKWY",
            "address_2": "SUITE 305",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691705",
            "telephone_number": "847-884-0250",
            "fax_number": "847-884-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GRAND CANYON PKWY",
            "address_2": "SUITE 305",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691705",
            "telephone_number": "847-884-0250",
            "fax_number": "847-884-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE S. WARDELL DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-697-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wardell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.