Provider Demographics
NPI:1790982239
Name:NORLING, RODNEY BLAKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:BLAKE
Last Name:NORLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 ALTOS OAKS DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5426
Mailing Address - Country:US
Mailing Address - Phone:650-941-2180
Mailing Address - Fax:650-941-3210
Practice Address - Street 1:811 ALTOS OAKS DR
Practice Address - Street 2:SUITE #1
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5426
Practice Address - Country:US
Practice Address - Phone:650-941-2180
Practice Address - Fax:650-941-3210
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice