Hillam, Jordan Rodney

Hillam, Jordan Rodney is an individual health care provider with primary practice located at 758 E 65Th S , Idaho Falls ID 83404-7696. 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 / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Hillam, Jordan Rodney can be contacted via phone (208) 360-9119.

Contact Information

Primary practice address
758 E 65Th S Idaho Falls ID 83404-7696
Phone: (208) 360-9119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4648 Idaho

Profile Details

NPI number 1194169649
LBN Legal business name Hillam, Jordan Rodney
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Mar 1st, 2018 - about 8 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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