Matthew D. Nordlie, DMD
General Dentistry · Rathdrum, ID
UnclaimedDMDNPI 1174178636
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2019-08-01
- Practice location
- Rathdrum, ID
- Last NPPES update
- 2022-08-04
State licenses
- WA · Dentist · NPPES self-reportedListed on NPI record
- WA · Dentist · Dentist LicenseExpiredthrough 2023
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.