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Dr. Jordan Higham, DDS
Pediatric Dentist in Idaho Falls, Idaho
NPI 1710186432

Jordan Higham is a Pediatric Dentist based in Shelley, ID and is specialized in Pediatric Dentistry. Jordan Higham practices in Idaho Falls, ID and has the professional credentials of DDS. The NPI Number for Jordan Higham is 1710186432 and holds a License No. (Idaho).

The current practice location address for Jordan Higham is 929 S Utah Ave, Idaho Falls, ID and can be reached out via phone at 208-529-2199.

Location: 929 S Utah Ave, Idaho Falls, ID, 83274-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710186432
Provider Name
Jordan Higham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
929 S Utah Ave, Idaho Falls, ID, 83274-1141
Phone Number
208-529-2199
Fax Number
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
929 S Utah Ave
City
Idaho Falls
State
Idaho
Zip
83402-3322
Phone Number
208-529-2199
Fax Number
person
Provider Business Mailing Address Details
Address
929 S Utah Ave
City
Idaho Falls
State
Idaho
Zip
83402-3322
Phone Number
208-529-2199
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D-4205 (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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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