Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386872141 Individual Practitioner Male Practitioner

Dr. Jonathan W. Gantz , DDS

Dentist - General Practice • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Gantz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Walla Walla, WA. Practice services are available at 1608 PENNY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1608 Penny Ln

Walla Walla, WA 993624477

Telephone 5095259111
Fax 5095935155
Associated Practice Facility / Clinic
🏢 Thomas W. Utt, Pllc Facility NPI 1295146835

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60093430

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2134988 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Alex Rauchle , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1467029884

Doctor of Dental Surgery

Dr. Aaron Christopher , DMD, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1477977486

Doctor of Dental Medicine, MSD

Dr. Thomas Utt , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1598898355

Doctor of Dental Surgery

Tiah Eskildsen

Dental Assistant

NPI 1649786484

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 18, 2026

Registered at 1608 PENNY LN, WALLA WALLA, WA 993624477 (Tel: 5095259111)

📍
Updated Business Mailing Address May 18, 2026

Registered at 1608 PENNY LN, WALLA WALLA, WA 993624477 (Tel: 5095259111)

NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2009

Registered at 2014 S HOWARD ST, WALLA WALLA, WA 993624532 (Tel: 5095254833)

📍
Updated Business Mailing Address June 30, 2009

Registered at 2014 S HOWARD ST, WALLA WALLA, WA 993624532 (Tel: 5095254833)

👤
Provider Name / Credentials Updated June 30, 2009

Recorded as JONATHAN GANTZ, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Dentist (License #DE60093430 in WA)

🟢
Initial NPI Registration & Enumeration June 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386872141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: May 18, 2026
Sole Proprietor: No

Mailing Address

1608 Penny Ln

Walla Walla, WA 993624477

Phone: 5095259111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.