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Contact Information

BRIAN WARDELL, DMD
522 CHESTNUT ST
SUITE GA
HINSDALE, IL60521-3171
 Phone: 630-655-3636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRIAN WARDELL · (Male)

NPI Number 1790763860
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/09/2006
Last updated 07/26/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019025869
  • IL License # 021002266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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