OrganizationActive
Ellis Burke Jardine, DMD, PC
NPI 1720458359 · Prosthodontics · Vancouver, WA
Provider details
- NPI number
- 1720458359
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ellis Jardine, Owner(360) 253-9792
- License
- 60339865 (WA)
Specialties & taxonomies
Dental Providers
Practice location
406 Se 131st Ave Ste 305
Vancouver, WA 98683-4014
Phone: (360) 253-9792
Fax: (360) 604-5266
Approximate (ZIP-level) locationGet directions
Mailing address
406 Se 131st Ave Ste 305
Vancouver, WA 98683-4014
Other names (DBA / former)
- Doing business as
- Advanced Dental Specialists
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.