OrganizationActive
Hillam Orthodontics PA
NPI 1437684099 · Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID
Provider details
- NPI number
- 1437684099
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jordan Hillam, Orthodontist(208) 524-1800
- License
- 4648 (ID)
Specialties & taxonomies
Dental Providers
Practice location
3325 S. Holmes Ave.
Idaho Falls, ID 83404
Phone: (208) 524-1800
Approximate (ZIP-level) locationGet directions
Mailing address
3325 S Holmes Ave
Idaho Falls, ID 83404-7981
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2017-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.