OrganizationActive
Jerald S. Pruner, DMD, PLLC
NPI 1821802000 · Oral and Maxillofacial Surgery Clinic/Center · Seattle, WA
Provider details
- NPI number
- 1821802000
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerald Pruner, Owner/ President(206) 215-2088
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1221 Madison St Ste 1116
Seattle, WA 98104-3536
Phone: (206) 215-2088
Approximate (ZIP-level) locationGet directions
Mailing address
1221 Madison St Ste 1116
Seattle, WA 98104-3536
Registry dates
- Enumerated
- 2025-02-06
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.