ADVANCED DENTAL SPECIALISTS
NPI 1720458359
Dentist - Prosthodontics in Vancouver, WA

Active since September 24, 2015
406 SE 131ST AVE STE 305, VANCOUVER, WA 98683(360) 253-9792(360) 604-5266 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dental Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DENTAL SPECIALISTS (NPI 1720458359) is a healthcare organization registered as a prosthodontics in Vancouver, Washington and active in the NPI registry since September 2015. The organization lists Ellis Burke Jardine, Owner, as its authorized official.

NPPES Registry Identity

NPI1720458359
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameELLIS BURKE JARDINE, DMD, PC
Location Address406 SE 131ST AVE STE 305Vancouver, WA 98683-4014
Mailing Address406 Se 131st Ave Ste 305Vancouver, WA 98683-4014 · (360) 253-9792 · Fax (360) 604-5266
Fax(360) 604-5266
Organization SubpartNo
Authorized OfficialEllis Burke JardineOwner · (360) 253-9792
Enumeration DateSeptember 24, 2015
Last NPPES UpdateMarch 7, 2023
NPI 1720458359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in WA · 60339865
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.

406 SE 131ST AVE STE 305, Vancouver, WA 98683

Other Names 1

Doing Business AsAdvanced Dental Specialists

Other Identifiers 1

OtherWA 60339865WA · Wa Dental License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Burke Jardine, Dmd, PC's NPI number?

The NPI number for Ellis Burke Jardine, Dmd, PC is 1720458359. It was assigned to this organization in the NPPES registry on September 24, 2015. The provider is doing business as Advanced Dental Specialists.

Where is Ellis Burke Jardine, Dmd, PC located?

Ellis Burke Jardine, Dmd, PC is located at 406 SE 131st Ave Ste 305, Vancouver, WA 98683. The listed phone number is (360) 253-9792.

What is Ellis Burke Jardine, Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Ellis Burke Jardine, Dmd, PC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.