P Praxis·MD
● Active Type 2 · Organization

Rodney H Hillam DDS MS PA

Dentist·Idaho Falls, ID· NPI 1306973862 · Enumerated 2007 · 19 years on NPI
Rodney H Hillam DDS MS PA is 1 of 135 dentist organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-28
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hillam
Owner President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 135 active dentist providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3325 S Holmes Ave
Idaho Falls, ID 834047981
📞 2065241800fax 2085241890
Mailing address
3325 S Holmes Ave
Idaho Falls, ID 834047981
📞 2065241800fax 2085241890

Authorized official

Rodney H Hillam, DDS MS PA
Owner President
📞 2085241800

Specialties

  • Dentist Primary
    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...
    ID license #2019WY license #918 taxonomy 1223X0400X

Identifiers

TypeValueNotes
01 840380 UNITED CONCORDIA
01 60301 BLUECROSS

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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