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Dr. Jordan Rodney Hillam, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Idaho Falls, Idaho
NPI 1194169649

Jordan Rodney Hillam is a Orthodontics and Dentofacial Orthopedic Dentist based in Idaho Falls, ID and is specialized in Orthodontics and Dentofacial Orthopedics. Jordan Rodney Hillam practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for Jordan Rodney Hillam is 1194169649 and holds a License No. (Idaho).

The current practice location address for Jordan Rodney Hillam is 758 E 65Th S, Idaho Falls, ID and can be reached out via phone at 208-360-9119. You can also correspond with Jordan Rodney Hillam through the mailing address at 758 E 65TH S, IDAHO FALLS, ID - 83404-7696 (mailing address contact number: 208-360-9119).

Location: 758 E 65Th S, Idaho Falls, ID, 83404-7696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194169649
Provider Name
Jordan Rodney Hillam
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
758 E 65Th S, Idaho Falls, ID, 83404-7696
Phone Number
208-360-9119
Fax Number
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
758 E 65Th S
City
Idaho Falls
State
Idaho
Zip
83404-7696
Phone Number
208-360-9119
Fax Number
person
Provider Business Mailing Address Details
Address
758 E 65Th S
City
Idaho Falls
State
Idaho
Zip
83404-7696
Phone Number
208-360-9119
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
4648 (Idaho)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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