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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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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