Individual provider · Type 1 NPI

Jonathan Daniel Chodroff, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Vancouver, WA

NPI number 1366950594 Active

Practice location

14411 NE 20th Ave Ste 101
Vancouver, WA 98686-6432

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD10743 (OR)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X61358923 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1366950594

Jonathan Daniel Chodroff, DDS, MD's National Provider Identifier is 1366950594, issued on Jan 22, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Vancouver, WA. The record was last updated on May 15, 2023.