Dr Craig Ronald Jonov, DMD, MD is a
Specialist based in Seattle, Washington. Dr Craig Ronald Jonov is licensed to practice in Washington (license number 43154) and his current practice location is
509 Olive Way, Ste 1454, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 624-0852.
NPI number for Dr Craig Ronald Jonov is 1235134511 and his current mailing address is 509 Olive Way, Ste 1454, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235134511.
Healthcare Provider's Profile
| Full Name | Dr Craig Ronald Jonov |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
|---|
| Location | 509 Olive Way, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235134511
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Craig Ronald Jonov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235134511 | NPI | - | NPPES |
| 59246 | Other | WA | WASH DENTAL SERVICE |
| 5041496 | Medicaid | WA | |
| 1386802 | Other | WA | UNITED CONCORDIA |
| 7092322 | Other | WA | AETNA |
| 1605JO | Other | WA | REGENCE |
| 164759 | Other | WA | DEPT OF LABOR & INDUSTRIE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 9246 (Washington) | Primary |
| 174400000X | Specialist | 43154 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig Ronald Jonov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Craig Ronald Jonov, DMD, MD
509 Olive Way, Ste 1454,
Seattle, WA 98101-1749
Ph: (206) 624-0852 | Dr Craig Ronald Jonov, DMD, MD
509 Olive Way, Ste 1454,
Seattle, WA 98101-1749
Ph: (206) 624-0852 |
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