Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerald S. Pruner, DMD, PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1821802000

Jerald S. Pruner, DMD, PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Seattle, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 Madison St Ste 1116
Seattle, WA 98104-3536
Phone: (206) 215-2088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1821802000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerald Pruner — Owner/ President · (206) 215-2088
NPI enumeratedFebruary 6, 2025
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address1221 Madison St Ste 1116, Seattle, WA 98104-3536

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