Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIS BURKE JARDINE, D.M.D.
Active Sole ProprietorDR. ELLIS BURKE JARDINE, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in VANCOUVER, Washington. NPI 1922205715 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · VANCOUVER, WA
Registration Details
- NPI Number
- 1922205715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2007 (19.137748883273 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
7240 (AZ)27917 (TX)DE 60339865 (WA)9441 (TN)DE60339865 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
406C SE 131ST AVENUESUITE 305VANCOUVER, WA, 986834003Browse WA providers · Browse ZIP 98683
- Phone
- 3602539792
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| DR. MARIAM ALEXES HAMIDI | DMD | 1710967252 |
| DR. CRAIG WILLIAM WONG | DMD | 1841228061 |
| THOMAS MICHAEL KREGER | DDS | 1952324527 |
| DR. GREGORY W BOICE | DMD | 1790881910 |
| DR. MARTIN A SEIDENSCHMID | DMD | 1639275878 |
| DR. DANIEL R DORSEY | DMD | 1225134497 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.