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Dr. Matthew David Nordlie, DMD
General Practice Dentistry in Rathdrum, Idaho
NPI 1174178636

Matthew David Nordlie is a General Practice Dentistry based in Lake Tapps, ID and is specialized in General Practice. Matthew David Nordlie practices in Rathdrum, ID and has the professional credentials of DMD. The NPI Number for Matthew David Nordlie is 1174178636 and holds a License No. DE60966868 (Idaho).

The current practice location address for Matthew David Nordlie is 3170 W Mack Ln, Rathdrum, ID and can be reached out via phone at 253-249-3581.

Location: 3170 W Mack Ln, Rathdrum, ID, 98391-8709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174178636
Provider Name
Matthew David Nordlie
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3170 W Mack Ln, Rathdrum, ID, 98391-8709
Phone Number
253-249-3581
Fax Number
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3170 W Mack Ln
City
Rathdrum
State
Idaho
Zip
83858-4500
Phone Number
253-249-3581
Fax Number
person
Provider Business Mailing Address Details
Address
3170 W Mack Ln
City
Rathdrum
State
Idaho
Zip
83858-4500
Phone Number
253-249-3581
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE60966868 (Washington)
Definition
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.
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