Individual provider · Type 1 NPI
Matthew David Nordlie, DMD
General Practice Dentistry · Rathdrum, ID
NPI number
1174178636
Active
Practice location
3170 W Mack Ln
Rathdrum, ID 83858-4500
Mailing address
21421 Snag Island Dr E
Lake Tapps, WA 98391-8709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DE60966868 (WA) |
General Practice Dentistry: 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.
Other general practice dentistry providers in Rathdrum
About NPI 1174178636
Matthew David Nordlie, DMD's National Provider Identifier is 1174178636, issued on Aug 1, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rathdrum, ID. The record was last updated on Aug 4, 2022.