# ELLIS JARDINE, DMD, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Excel Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831558907
- **Authorized official:** DR. ELLIS BURKE JARDINE DMD (OWNER)
- **Authorized official phone:** (480) 862-3185

## Contact information

- **Practice address:** 1401 NW 1ST ST STE 120, BATTLE GROUND, WA 98604-4540
- **Practice address phone:** (360) 666-5700
- **Practice address fax:** (360) 666-5701
- **Mailing address:** 1401 NW 1ST ST STE 120, BATTLE GROUND, WA 98604-4540
- **Mailing address phone:** (360) 666-5700
- **Mailing address fax:** (360) 666-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DE 60339865 | WA | Yes |

## Other

- **Enumeration date:** 02/18/2016
- **Last updated:** 02/18/2016