OrganizationActive
Ellis Jardine, DMD, PLLC
NPI 1831558907 · Prosthodontics · Battle Ground, WA
Provider details
- NPI number
- 1831558907
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ellis Jardine, Owner(480) 862-3185
- License
- DE 60339865 (WA)
Specialties & taxonomies
Dental Providers
Practice location
1401 Nw 1st St Ste 120
Battle Ground, WA 98604-4540
Phone: (360) 666-5700
Fax: (360) 666-5701
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Nw 1st St Ste 120
Battle Ground, WA 98604-4540
Other names (DBA / former)
- Doing business as
- Excel Dental
Registry dates
- Enumerated
- 2016-02-18
- Last updated
- 2016-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.