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Dr. Ellis Burke Jardine, DMD
Oral and Maxillofacial Surgery (Dentist) in Vancouver, Washington
NPI 1922205715

Ellis Burke Jardine is a Oral and Maxillofacial Surgery (Dentist) based in Camas, WA and is specialized in Oral and Maxillofacial Surgery. Ellis Burke Jardine practices in Vancouver, WA and has the professional credentials of DMD. The NPI Number for Ellis Burke Jardine is 1922205715 and holds a License No. 7240 (Washington).

The current practice location address for Ellis Burke Jardine is 406C Se 131St Avenue, Vancouver, WA and can be reached out via phone at 360-253-9792.

Location: 406C Se 131St Avenue, Vancouver, WA, 98607-6904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922205715
Provider Name
Ellis Burke Jardine
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
406C Se 131St Avenue, Vancouver, WA, 98607-6904
Phone Number
360-253-9792
Fax Number
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
406C Se 131St Avenue
City
Vancouver
State
Washington
Zip
98683-4003
Phone Number
360-253-9792
Fax Number
person
Provider Business Mailing Address Details
Address
406C Se 131St Avenue
City
Vancouver
State
Washington
Zip
98683-4003
Phone Number
360-253-9792
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE 60339865 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
27917 (Texas)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7240 (Arizona)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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