P Praxis·MD
● Active Type 2 · Organization

Hillam Orthodontics PA

Dentist·Idaho Falls, ID· NPI 1437684099 · Enumerated 2017 · 9 years on NPI
Hillam Orthodontics PA is 1 of 135 dentist organizations in Idaho.
NPI age
9 years
Enumerated 2017-04-20
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hillam
Orthodontist
Last NPPES update
2017-04-20
Source: monthly bulk 2026-05

How this organization compares

Across 135 active dentist providers in Idaho.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
3325 S. Holmes Ave.
Idaho Falls, ID 83404
📞 2085241800
Mailing address
3325 S Holmes Ave
Idaho Falls, ID 834047981
📞 2085241800

Authorized official

Jordan Rodney Hillam, D.D.S., M.S.D.
Orthodontist
📞 2085241800

Individual providers at this organization

1 individual provider on file at this primary practice address.

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 #4648 taxonomy 1223X0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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