IndividualActive
Jordan Clawson, DDS, MD
NPI 1881257111 · Oral and Maxillofacial Surgery (Dentist) · Idaho Falls, ID
Provider details
- NPI number
- 1881257111
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- No
- License
- 8471643 (ID)
Specialties & taxonomies
Dental Providers
Practice location
780 Bridgeport Dr Ste a
Idaho Falls, ID 83402-3370
Phone: (208) 932-4600
Approximate (ZIP-level) locationGet directions
Mailing address
3885 Barossa Dr
Idaho Falls, ID 83404-7818
Additional practice locations (1)
- 360 E Main StRexburg, ID 83440-2015Phone: (208) 356-5959
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.