DR. Jordan Rodney Hillam, D.D.S.

NPI #1194169649 in Idaho Falls, Idaho

Provider Information

NPI Number
1194169649
Entity Type
Individual
Name
DR. Jordan Rodney Hillam, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
Apr 25, 2013
Last Updated
Mar 1, 2018

Practice Location

Address
758 E 65TH S
State
Idaho
ZIP Code
83404-7696
Phone
(208) 360-9119

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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