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

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X60339865 (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.

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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.