Individual
DR. CRAIG RONALD JONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
509 OLIVE WAY, STE 1454, SEATTLE, WA 98101-1749
(206) 624-0852
(206) 622-2084
Mailing address
509 OLIVE WAY, STE 1454, SEATTLE, WA 98101-1749
(206) 624-0852
(206) 622-2084
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
9246
WA
174400000X
Specialist
43154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386802
UNITED CONCORDIA
WA
01
—
1605JO
REGENCE
WA
01
—
164759
DEPT OF LABOR & INDUSTRIE
WA
05
—
5041496
—
WA
01
—
59246
WASH DENTAL SERVICE
WA
01
—
7092322
AETNA
WA
Enumeration date
06/14/2005
Last updated
09/11/2025
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