DR. ELLIS JARDINE, D.M.D.
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1922205715
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 7240 (AZ) |
| Dentist - Prosthodontics | 1223P0700X | No | 9441 (TN) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | DE60339865 (WA) |
Frequently Asked Questions
NPI 1922205715 is the National Provider Identifier for DR. ELLIS JARDINE, D.M.D., a Dentist - Oral and Maxillofacial Surgery provider located in Vancouver, WA. This NPI was enumerated on June 27, 2007.
DR. ELLIS JARDINE, D.M.D. practices at 406C SE 131ST AVENUE, SUITE 305, Vancouver, WA 98683.
Quick Facts
- NPI
- 1922205715
- Type
- Individual
- Enumerated
- Jun 27, 2007
- Last Updated
- Mar 7, 2023
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