Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Ellyn Orthodontics, PC

Organization Dental Clinic/Center · NPI 1063954477

Glen Ellyn Orthodontics, PC is a Dental Clinic/Center in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 S Park Blvd Ste 220
Glen Ellyn, IL 60137-6280
Phone: (630) 469-6200
Fax: (630) 469-6203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 021.002325 (IL)

Record details

NPI number1063954477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Wardell — President · (630) 697-0334
Other names Wardell Orthodontics
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016
Mailing address45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137-6280

Other providers in Glen Ellyn