DR. CRAIG RONALD JONOV DMD MD NPI 1235134511

NPI Information

NPI: 1235134511
Provider Name: DR. CRAIG RONALD JONOV, DMD, MD
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Address:
509 OLIVE WAY
STE 1454
SEATTLE, WA
ZIP 98101
Phone: (206) 624-0852
Get Directions

DR. Craig Ronald Jonov, DMD, MD is an oral and maxillofacial pathology dentist in Seattle, WA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Craig Ronald Jonov, DMD, MD NPI is 1235134511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

509 OLIVE WAY
STE 1454
SEATTLE, WA
ZIP 98101-749
Phone: (206) 624-0852
Fax: (206) 622-2084

The enumeration date for this NPI number is 6/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	9246	WASHINGTON	Yes
2	174400000X	Specialist		43154	WASHINGTON	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AB37280	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	ORAL & MAXILLOFACIAL SURG
2	164759	OTHER	WASHINGTON	DEPT OF LABOR & INDUSTRIE
3	AB37279	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	MAXILLOFACIAL SURGERY
4	7092322	OTHER	WASHINGTON	AETNA
5	1605JO	OTHER	WASHINGTON	REGENCE
6	59246	OTHER	WASHINGTON	WASH DENTAL SERVICE
7	1386802	OTHER	WASHINGTON	UNITED CONCORDIA
8	5041496	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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