Individual
JORDAN JAY CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
780 BRIDGEPORT DR STE A, IDAHO FALLS, ID 83402-3370
(208) 932-4600
Mailing address
3885 BAROSSA DR, IDAHO FALLS, ID 83404-7818
(208) 681-9192
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8471643
ID
Other
Enumeration date
04/22/2019
Last updated
09/18/2025
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