Search › Idaho › 122300000X
Ryan Hillam, DDS
NPI 1992880132 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1820 N.Whitley Drive
Fruitland, ID 83619 - Phone
- (208) 452-4808
- Fax
- (208) 452-6617
- Organisation at this address
- Idaho Oral Surgery Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-20
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