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RODNEY H. HILLAM, DDS, MS, P.A.

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Company Details

Name: RODNEY H. HILLAM, DDS, MS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 25 Oct 1984 (41 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 241494
Place of Formation: IDAHO
File Number: 241494
ZIP code: 83404
County: Bonneville County
Mailing Address: 3325 S HOLMES AVE IDAHO FALLS, ID 83404-7981

Agent

Name Role Address
RODNEY H HILLAM Agent 3325 S HOLMES, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
Rodney H. Hillam President 3325 S HOLMES AVE, IDAHO FALLS, ID 83404-7981 2020-09-14

Secretary

Name Role Address Appointed On
MELANIE HILLAM Secretary 3325 S HOLMES AVE, IDAHO FALLS, ID 83404-7981 2023-09-05

National Provider Identifier

NPI Number:
1306973862

Authorized Person:

Name:
RODNEY H HILLAM
Role:
OWNER PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
No
Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fax:
2085241890

Filing

Filing Name Filing Number Filing date
Annual Report 0005879894 2024-09-03
Annual Report 0005382328 2023-09-05
Annual Report 0004874951 2022-09-01
Annual Report 0004400457 2021-09-03
Annual Report 0004003744 2020-09-14

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Date of last update: 26 Jun 2025

Sources: Idaho Secretary of State