Jonathan W. Gantz, DDS Pllc
Jonathan W. Gantz, DDS Pllc is a healthcare organization registered as Dental Clinic/Center in Walla Walla, WA, holding Type 2 (organization) NPI 1093504821 since 2025. The authorized official on file is Jonathan Gantz, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093504821 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jonathan W. Gantz, DDS Pllc |
| Practice address | 1608 PENNY LN, Walla Walla, WA, 99362 |
| Phone | 5095259111 |
| Fax | 5095935155 |
| Enumeration date | 2025-05-06 |
| Last updated in NPPES | 2026-05-18 |
Authorized official
| Name | Jonathan Gantz |
|---|---|
| Title | Dentist |
| Phone | 5095259111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134988 | Medicaid | WA | — |
Copy-ready billing details
Provider: Jonathan W. Gantz, DDS Pllc NPI: 1093504821 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1608 PENNY LN, Walla Walla, WA, 99362
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598898355 | Thomas Utt | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Walla Walla, WA |
| 1386872141 | Jonathan Gantz | Individual | General Practice Dentistry | Walla Walla, WA |
| 1477977486 | Aaron Christopher | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Walla Walla, WA |
| 1295146835 | Thomas W. Utt, Pllc | Organization | Orthodontics and Dentofacial Orthopedics Dentistry | Walla Walla, WA |
| 1649786484 | Tiah Eskildsen | Individual | Dental Assistant | Walla Walla, WA |
| 1184284689 | Walla Walla Orthodontics | Organization | Orthodontics and Dentofacial Orthopedics Dentistry | Walla Walla, WA |
| 1467029884 | Alex Rauchle | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Walla Walla, WA |
Verify this record
Cross-check NPI 1093504821 against the authoritative CMS record: view Jonathan W. Gantz, DDS Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Jonathan W. Gantz, DDS Pllc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-18.