Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW DAVID NORDLIE, DMD
Active Sole ProprietorDR. MATTHEW DAVID NORDLIE, DMD is a General Dentistry healthcare provider located in RATHDRUM, Idaho. NPI 1174178636 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · RATHDRUM, ID
Registration Details
- NPI Number
- 1174178636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2019 (7.0178120492756 yrs)
- Last Updated
- Aug 4, 2022
- License
-
DE60966868 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3170 W MACK LNRATHDRUM, ID, 838584500Browse ID providers · Browse ZIP 83858
- Phone
- 2532493581
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in RATHDRUM, ID
| Name | Credential | NPI |
|---|---|---|
| DANIEL WHITESITT | DDS | 1811555758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.