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Contact Information

RYAN D HILLAM, DDS
1820 N.WHITLEY DRIVE
FRUITLAND, ID83619
 Phone: 208-452-4808
 Fax: 208-452-6617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RYAN D HILLAM · (Male)

NPI Number 1992880132
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/26/2006
Last updated 11/20/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D3949
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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