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

Jerald S Pruner, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1134234313

Jerald S Pruner, DMD is an Oral and Maxillofacial Surgery (Dentist) in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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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 (Dentist) (primary) Taxonomy 1223S0112X · Licence DE00010527 (WA)

Record details

NPI number1134234313
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address1221 Madison St Ste 1116, Seattle, WA 98104-3536

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