JONATHAN CHODROFF MD DDS II P.L.L.C. NPI 1497547517

NPI Information

  • NPI: 1497547517
  • Provider Name: JONATHAN CHODROFF, MD, DDS, II, P.L.L.C.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 14411 NE 20TH AVE STE 111
    VANCOUVER, WA
    ZIP 98686
  • Phone: (360) 425-7220

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NPI Details

JONATHAN CHODROFF, MD, DDS, II, P.L.L.C. is an oral maxillofacial surgery in Vancouver, WA. The provider is 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. JONATHAN CHODROFF, MD, DDS, II, P.L.L.C. NPI is 1497547517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14411 NE 20TH AVE STE 111
VANCOUVER, WA
ZIP 98686-433
Phone: (360) 425-7220

The provider's authorized official is Jonathan Daniel Chodroff .
The authorized official title is Oral Surgeon and has the following contact phone number (302) 379-3104.

The enumeration date for this NPI number is 5/22/2025 and was last updated on 5/22/2025.

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
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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