Jerald S Pruner in Seattle - Oral And Maxillofacial Surgery

Jerald S Pruner - NPI 1134234313

Jerald S Pruner is a Oral And Maxillofacial Surgery in Seattle, Washington. Jerald S Pruner practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jerald S Pruner is 1134234313. The last update date is 2007-07-08.

Jerald S Pruner's current location address is 1959 Ne Pacific St, Seattle, Washington. You can contact this provider via phone number 2065430065. The mailing address for Jerald S Pruner is 1959 Ne Pacific St, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald S Pruner
Address 1959 Ne Pacific St, Seattle, Washington
Phone Number 2065430065
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1134234313
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1959 Ne Pacific St
City Seattle
State Washington (WA)
Post Code 981956340
Phone Number 2065430065
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DE00010527
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Jerald S Pruner

What is the unique identification code assigned to Jerald S Pruner by the Centers for Medicare & Medicaid Services?

The Jerald S Pruner has been issued the NPI (National Provider Identifier) 1134234313. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jerald S Pruner is geographically located?

The Jerald S Pruner is physically situated at the following location: 1959 Ne Pacific St, Seattle, WA, 981956340.

What is Jerald S Pruner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerald S Pruner is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.

On what date did the Jerald S Pruner receive its 1134234313 assignment from the Centers for Medicare & Medicaid Services?

The Jerald S Pruner was assigned its 1134234313 by the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date were the details pertaining to Jerald S Pruner last refreshed?

The information related to the Jerald S Pruner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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