JERALD S. PRUNER, DMD, PLLC
NPI 1821802000
Clinic/Center - Oral and Maxillofacial Surgery in Seattle, WA

Active since February 06, 2025
1221 MADISON ST STE 1116, SEATTLE, WA 98104(206) 215-2088 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerald S. Pruner, Dmd, Pllc NPPES

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

JERALD S. PRUNER, DMD, PLLC (NPI 1821802000) is a healthcare organization registered as an oral and maxillofacial surgery in Seattle, Washington and active in the NPI registry since February 2025. The organization lists Jerald Scott Pruner, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1821802000
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameJERALD S. PRUNER, DMD, PLLC
Location Address1221 MADISON ST STE 1116Seattle, WA 98104-3536
Mailing Address1221 Madison St Ste 1116Seattle, WA 98104-3536 · (206) 215-2088
Organization SubpartNo
Authorized OfficialJerald Scott PrunerOwner/ President · (206) 215-2088
Enumeration DateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
NPI 1821802000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in 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.
1221 MADISON ST STE 1116, Seattle, WA 98104

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.

Dentist (Oral and Maxillofacial Surgery)
1221 MADISON ST STE 1116
SEATTLE, WA 98104
Dentist (Oral and Maxillofacial Surgery)
1221 MADISON ST STE 1116
SEATTLE, WA 98104

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 Jerald S. Pruner, Dmd, PLLC's NPI number?

The NPI number for Jerald S. Pruner, Dmd, PLLC is 1821802000. It was assigned to this organization in the NPPES registry on February 6, 2025.

Where is Jerald S. Pruner, Dmd, PLLC located?

Jerald S. Pruner, Dmd, PLLC is located at 1221 Madison St Ste 1116, Seattle, WA 98104. The listed phone number is (206) 215-2088.

What is Jerald S. Pruner, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Jerald S. Pruner, Dmd, PLLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.