Organization · Type 2 NPI
Ellis Burke Jardine, Dmd, PC
Prosthodontics · Vancouver, WA
NPI number
1720458359
Active
Practice location
406 SE 131st Ave Ste 305
Vancouver, WA 98683-4014
Fax (360) 604-5266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 60339865 (WA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Other prosthodontics providers in Vancouver
About NPI 1720458359
Ellis Burke Jardine, Dmd, PC's National Provider Identifier is 1720458359, issued on Sep 24, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Vancouver, WA. The record was last updated on Mar 7, 2023.