Clay Gordon Vanderwall, DDS
Clay Gordon Vanderwall is a Orthodontics and Dentofacial Orthopedics Dentistry provider (Dentist) practicing in Bolingbrook, IL, registered in the NPPES registry with NPI 1962694737 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962694737 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Clay Gordon Vanderwall |
| Credential | DDS |
| Sex | Male |
| Practice address | 406 W BOUGHTON RD, SUITE B, Bolingbrook, IL, 60440 |
| Phone | 6307598940 |
| Fax | 6307599392 |
| Enumeration date | 2007-08-15 |
| Last updated in NPPES | 2007-08-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | — | IL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Clay Vanderwall, DDS NPI: 1962694737 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 406 W BOUGHTON RD, SUITE B, Bolingbrook, IL, 60440
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518035138 | Timothy Moss | Individual | Dentist | Bolingbrook, IL |
| 1235207887 | Amy North | Individual | Dental Hygienist | Bolingbrook, IL |
| 1730257387 | Gina Smoger | Individual | Dental Hygienist | Bolingbrook, IL |
| 1285702837 | Stephanie Cantore | Individual | Dental Hygienist | Bolingbrook, IL |
| 1780745224 | Raymond Muehling | Individual | Dentist | Bolingbrook, IL |
| 1679634117 | Sarah Kozak | Individual | Dental Hygienist | Bolingbrook, IL |
Verify this record
Cross-check NPI 1962694737 against the authoritative CMS record: view Clay Gordon Vanderwall on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-15.