Individual provider · Type 1 NPI

Jordan Rodney Hillam, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1194169649 Active

Practice location

758 E 65th S
Idaho Falls, ID 83404-7696

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	4648 (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1194169649

Jordan Rodney Hillam, DDS's National Provider Identifier is 1194169649, issued on Apr 25, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 1, 2018.