Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Burke Jardine, DMD, PC

Organization Prosthodontics · NPI 1720458359

Ellis Burke Jardine, DMD, PC is a Prosthodontics in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

406 SE 131st Ave Ste 305
Vancouver, WA 98683-4014
Phone: (360) 253-9792
Fax: (360) 604-5266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 60339865 (WA)

Record details

NPI number1720458359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellis Jardine — Owner · (360) 253-9792
Other names Advanced Dental Specialists
NPI enumeratedSeptember 24, 2015
Last updated in NPPESMarch 7, 2023
Mailing address406 Se 131st Ave Ste 305, Vancouver, WA 98683-4014

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