Organization Active NPI

Volland DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lake Tapps, WA
National Provider Identifier
1962379321
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
VOLLAND DDS PLLC
Practice address
3305 204TH Avenue CT E
Lake Tapps, WA 98391-9021
Phone
(206) 941-6300
NPI assigned
Oct 21, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jonathan VollandNPI 1467930545
Title
Owner
Phone
(206) 941-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210001902 WA Part B Supplier - Clinic/Group Practice 3577057249 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, WA; Seattle, WA; Renton, WA; Puyallup, WA; Lakewood, WA; Lacey, WA; Kent, WA; Bonney Lake, WA…

National Provider Directory

National Provider Directory

Locations

1404 Lake Tapps Pkwy SE
Ste A103
Auburn, WA 98092
Phone (253) 275-0650

444 Ramsay Way
Ste 109
Kent, WA 98032
Phone (206) 653-1793

1420 Marvin Rd NE
Ste D
Lacey, WA 98516
Phone (360) 873-0132

5605 Lakewood Towne Center Blvd SW
Ste B
Lakewood, WA 98499
Phone (253) 200-4049

109 N Meridian
Puyallup, WA 98371

5610 176th St E
Ste D108
Puyallup, WA 98375
Phone (253) 875-7412

1002 N Meridian
Ste A104
Puyallup, WA 98371
Phone (253) 200-0695

15640 Redmond Way
Redmond, WA 98052
Phone (425) 224-7592

17220 140th Ave SE
Ste C
Renton, WA 98058
Phone (425) 270-8076

535 Broadway E
Seattle, WA 98102
Phone (206) 757-2898

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

NPPES NPI Registry

Primary practice location

3305 204TH Avenue CT E
Lake Tapps, WA 98391-9021

Mailing address

3305 204TH Avenue CT E
Lake Tapps, WA 98391-9021
Phone (206) 941-6300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1962379321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 204TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983919021",
            "telephone_number": "206-941-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 204TH AVENUE CT E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983919021",
            "telephone_number": "206-941-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLLAND DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "VOLLAND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-941-6300"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Tapps, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.