Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jordan Rodney Hillam, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194169649

Dr. Jordan Rodney Hillam, DDS is a Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

758 E 65th S
Idaho Falls, ID 83404-7696
Phone: (208) 360-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 4648 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194169649
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 25, 2013
Last updated in NPPESMarch 1, 2018

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