Ellis Burke Jardine in Camas - Prosthodontics
Ellis Burke Jardine - NPI 1922205715
Ellis Burke Jardine is a Prosthodontics in Camas, Washington. Ellis Burke Jardine practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Ellis Burke Jardine is 1922205715. The last update date is 2023-03-07.
Ellis Burke Jardine's current location address is 3542 Ne Franklin St, Camas, Washington. You can contact this provider via phone number 4808623185. The mailing address for Ellis Burke Jardine is 3542 Ne Franklin St, Camas, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis Burke Jardine |
|---|---|
| Address | 3542 Ne Franklin St, Camas, Washington |
| Phone Number | 4808623185 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1922205715 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3542 Ne Franklin St |
|---|---|
| City | Camas |
| State | Washington (WA) |
| Post Code | 986076904 |
| Phone Number | 4808623185 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 27917 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ellis Burke Jardine by the Centers for Medicare & Medicaid Services?
The Ellis Burke Jardine has been issued the NPI (National Provider Identifier) 1922205715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ellis Burke Jardine located?
The Ellis Burke Jardine is located at 3542 Ne Franklin St, Camas, WA 986076904.
What is Ellis Burke Jardine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ellis Burke Jardine's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
When did the Ellis Burke Jardine receive its 1922205715?
The Ellis Burke Jardine was issued its 1922205715 on 2007-06-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Ellis Burke Jardine most recently updated or revised?
The details related to Ellis Burke Jardine, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA