OrganizationActive
Glen Ellyn Orthodontics, PC
NPI 1063954477 · Dental Clinic/Center · Glen Ellyn, IL
Glen Ellyn Orthodontics, PC is a Dental Clinic/Center organization in Glen Ellyn, IL (NPI 1063954477).
Provider details
- NPI number
- 1063954477
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Wardell, President(630) 697-0334
- License
- 021.002325 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
45 S Park Blvd
Suite 220
Glen Ellyn, IL 60137-6280
Phone: (630) 469-6200
Fax: (630) 469-6203
Street-level locationGet directions
Mailing address
45 S Park Blvd
Glen Ellyn, IL 60137-6280
Other names (DBA / former)
- Doing business as
- Wardell Orthodontics
Registry dates
- Enumerated
- 2016-11-16
- Last updated
- 2016-11-16
Frequently asked questions
- What is Glen Ellyn Orthodontics, PC's NPI number?
- Glen Ellyn Orthodontics, PC's National Provider Identifier (NPI) is 1063954477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Ellyn Orthodontics, PC?
- Glen Ellyn Orthodontics, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Glen Ellyn Orthodontics, PC located?
- Glen Ellyn Orthodontics, PC's practice location on file with NPPES is 45 S Park Blvd, Glen Ellyn, IL 60137-6280.
- What is Glen Ellyn Orthodontics, PC's phone number?
- The practice phone number listed in the NPPES registry for Glen Ellyn Orthodontics, PC is (630) 469-6200.
- Who is the authorized official for Glen Ellyn Orthodontics, PC?
- The authorized official listed on Glen Ellyn Orthodontics, PC's NPPES record is Bruce Wardell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Ellyn Orthodontics, PC's NPI active?
- Yes — Glen Ellyn Orthodontics, PC's NPI (1063954477) is active in the NPPES registry as of the last update on 2016-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.