Search › Idaho › 1223X0400X
Jordan Hillam, D.D.S
NPI 1194169649 · on the registry since 2013
Practice
- Address
- 758 E 65th S
Idaho Falls, ID 83404 - Phone
- (208) 360-9119
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho