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

Dr. Ellis Burke Jardine, DMD

Individual provider General Practice Dentistry · NPI 1922205715

Dr. Ellis Burke Jardine, DMD is a General Practice Dentistry in Vancouver, Washington. Practices as a sole proprietor. Licensed in Arizona, Tennessee, Texas and Washington.

Licensed in
AZ, TN, TX, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

406C SE 131st Ave Ste 305
Vancouver, WA 98683-4003
Phone: (360) 253-9792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DE60339865 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7240 (AZ)
Prosthodontics Taxonomy 1223P0700X · Licence 27917 (TX)
Prosthodontics Taxonomy 1223P0700X · Licence DE 60339865 (WA)
Prosthodontics Taxonomy 1223P0700X · Licence 9441 (TN)

Record details

NPI number1922205715
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 27, 2007
Last updated in NPPESMarch 7, 2023
Certification dateNovember 15, 2021

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