Higham, Jordan
Higham, Jordan is an individual health care provider with primary practice located at 929 S Utah Ave , Idaho Falls ID 83402-3322. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Higham, Jordan can be contacted via phone (208) 529-2199.Contact Information
Primary practice address
929 S Utah Ave
Idaho Falls ID 83402-3322
Phone: (208) 529-2199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | D-4205 | Idaho |
Profile Details
| NPI number | 1710186432 |
|---|---|
| LBN Legal business name | Higham, Jordan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | May 22nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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