SearchIdahoOrthodontics and Dentofacial Orthopedics Dentistry

Jordan Hillam, D.D.S

NPI 1194169649 · on the registry since 2013

Practice

Address
758 E 65th S
Idaho Falls, ID 83404
Phone
(208) 360-9119

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho