IndividualActive
Andrew Nordlie, DDS
NPI 1437944857 · Periodontics · Federal Way, WA
Provider details
- NPI number
- 1437944857
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE61661757 (WA)
Specialties & taxonomies
Dental Providers
Practice location
2505 S 320th St Ste 330
Federal Way, WA 98003-5461
Phone: (206) 400-0800
Approximate (ZIP-level) locationGet directions
Mailing address
21421 Snag Island Dr E
Lake Tapps, WA 98391-8709
Registry dates
- Enumerated
- 2025-04-14
- Last updated
- 2025-04-19
- Certified
- 2025-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.