Kristin Nordahl, DMD is a
Dentist - General Practice based in Longview, Washington. Kristin Nordahl is licensed to practice in Washington (license number DE60035277) and her current practice location is
1057 12th Ave, Longview, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 636-3892.
NPI number for Kristin Nordahl is 1811136898 and her current mailing address is 1057 12th Ave, Longview, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811136898.
Provider's Profile
| Full Name | Kristin Nordahl |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1057 12th Ave, Longview, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811136898
- Provider Enumeration Date: 02/13/2009
- Last Update Date: 09/13/2023
Medical Identifiers
Medical identifiers for Kristin Nordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811136898 | NPI | - | NPPES |
| 5059464 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN00131874 (Washington) | Secondary |
| 1223G0001X | Dentist - General Practice | DE60035277 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Nordahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristin Nordahl, DMD
1057 12th Ave,
Longview, WA 98632-2509
Ph: (360) 636-3892 | Kristin Nordahl, DMD
1057 12th Ave,
Longview, WA 98632-2509
Ph: (360) 636-3892 |
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