JONATHAN W. GANTZ D.D.S. - NPI 1386872141 - Dentist in Walla Walla, WA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Jonathan W. Gantz D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN W. GANTZ D.D.S. (NPI 1386872141) is an individual general practice provider in Walla Walla, Washington, licensed in Washington (DE60093430) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386872141

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJONATHAN W. GANTZCredential: D.D.S.

Location Address1608 PENNY LNWalla Walla, WA 99362-4477

Mailing Address1608 Penny LnWalla Walla, WA 99362-4477 · (509) 525-9111 · Fax (509) 593-5155

Phone(509) 525-9111

Fax(509) 593-5155

Sole ProprietorNo

Enumeration DateJune 30, 2009

Last NPPES UpdateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1386872141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60093430

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1608 PENNY LN, Walla Walla, WA 99362

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Other Identifiers 1

Medicaid2134988WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan W. Gantz D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS W. UTT DDS

Dentist (Orthodontics and Dentofacial Orthopedics)