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 provides 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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