Organization · Type 2 NPI

Rodney H Hillam DDS MS PA

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1306973862 Active

Practice location

3325 S Holmes Ave
Idaho Falls, ID 83404-7981

Fax (208) 524-1890

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	2019 (ID)
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	918 (WY)

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 1306973862

Rodney H Hillam DDS MS PA's National Provider Identifier is 1306973862, issued on Feb 28, 2007. 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 Aug 22, 2020.