Kirt Bruce Hillam in Idaho Falls - Dentist
Kirt Bruce Hillam - NPI 1144339326
Kirt Bruce Hillam is a Dentist in Idaho Falls, Idaho. Kirt Bruce Hillam practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kirt Bruce Hillam is 1144339326. The last update date is 2007-07-08.
Kirt Bruce Hillam's current location address is 139 Alturas St, Idaho Falls, Idaho. You can contact this provider via phone number 2085235090 and fax number 2085235094. The mailing address for Kirt Bruce Hillam is 139 Alturas St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kirt Bruce Hillam |
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Address | 139 Alturas St, Idaho Falls, Idaho |
Phone Number | 2085235090 |
Fax Number | 2085235094 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1144339326 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 139 Alturas St |
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City | Idaho Falls |
State | Idaho (ID) |
Post Code | 834014309 |
Phone Number | 2085235090 |
Fax Number | 2085235094 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | D-2033 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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469586 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kirt Bruce Hillam?
The Kirt Bruce Hillam has been issued the NPI (National Provider Identifier) 1144339326 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kirt Bruce Hillam?
The Kirt Bruce Hillam is situated at 139 Alturas St, in the city of Idaho Falls, state of ID, with the zip code 834014309.
What is Kirt Bruce Hillam's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kirt Bruce Hillam is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did Kirt Bruce Hillam receive its 1144339326 assignment?
The Kirt Bruce Hillam was assigned its 1144339326 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kirt Bruce Hillam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kirt Bruce Hillam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.