JONATHAN CHODROFF, MD, DDS, II, P.L.L.C.
NPI 1497547517
Oral & Maxillofacial Surgery in Vancouver, WA

Q: What is Jonathan Chodroff, MD, Dds, II, P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since May 22, 2025

14411 NE 20TH AVE STE 111, VANCOUVER, WA 98686(360) 425-7220 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Chodroff, Md, Dds, Ii, P.l.l.c. NPPES

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

JONATHAN CHODROFF, MD, DDS, II, P.L.L.C. (NPI 1497547517), doing business as Lake River Oral And Facial Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Vancouver, Washington and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Longview and lists Jonathan Daniel Chodroff, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1497547517

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameJONATHAN CHODROFF, MD, DDS, II, P.L.L.C.

Location Address14411 NE 20TH AVE STE 111Vancouver, WA 98686-6433

Mailing Address14411 Ne 20th Ave Ste 111Vancouver, WA 98686-6433 · (360) 425-7220

Phone(360) 425-7220

Organization SubpartNo

Authorized OfficialJonathan Daniel ChodroffOral Surgeon · (302) 379-3104

Enumeration DateMay 22, 2025

NPPES CertifiedMay 22, 2025

✔ NPI 1497547517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

14411 NE 20TH AVE STE 111, Vancouver, WA 98686

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Other Names 1

Doing Business AsLake River Oral And Facial Surgery

Secondary Practice Location 1

Location 1855 11th Ave Ste BLongview, WA 98632-2461 · Phone (360) 425-7220

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. STEVEN DAVID HOKETT D.D.S.

Dentist (Periodontics)

14411 NE 20TH AVE STE 111
VANCOUVER, WA 98686

Clark County (360) 695-2400

CABEL MCDONALD DDS PLLC

Clinic/Center (Oral and Maxillofacial Surgery)

14411 NE 20TH AVE STE 111
VANCOUVER, WA 98686

Clark County (360) 425-7220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Chodroff, MD, Dds, II, P.L.L.C.'s NPI number?

The NPI number for Jonathan Chodroff, MD, Dds, II, P.L.L.C. is 1497547517. It was assigned to this organization in the NPPES registry on May 22, 2025. The provider is doing business as Lake River Oral and Facial Surgery.

Where is Jonathan Chodroff, MD, Dds, II, P.L.L.C. located?

Jonathan Chodroff, MD, Dds, II, P.L.L.C. is located at 14411 NE 20th Ave Ste 111, Vancouver, WA 98686. The listed phone number is (360) 425-7220.

What is Jonathan Chodroff, MD, Dds, II, P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Chodroff, MD, Dds, II, P.L.L.C. was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.