Jardine, Ellis Burke

Jardine, Ellis Burke is an sole proprietor health care provider with primary practice located at 406C Se 131St Avenue Suite 305, Vancouver WA 98683-4003. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jardine, Ellis Burke can be contacted via phone (360) 253-9792.

Contact Information

Primary practice address
406C Se 131St Avenue Suite 305 Vancouver WA 98683-4003
Phone: (360) 253-9792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7240 Arizona
Dental Providers / Prosthodontics 1223P0700X 27917 Texas
Dental Providers / Prosthodontics 1223P0700X DE 60339865 Washington
Dental Providers / Prosthodontics 1223P0700X 9441 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE60339865 Washington

Profile Details

NPI number 1922205715
LBN Legal business name Jardine, Ellis Burke
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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