Individual provider · Type 1 NPI
Jace C. Hansen, DMD, MS
Periodontics · Boise, ID
NPI number
1003027400
Active
Practice location
6019 N. Eagle Rd.
Boise, ID 83713
Fax (208) 377-3075
Other practice locations
- 2273 S Vista Ave Ste 110, Boise, ID 83705-7350 · (208) 377-2777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D-4290 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Boise
- Michael John Florence, DMDPeriodontics Boise, ID NPI 1235147281
- Kenneth G. Sherman Ii, DDSPeriodontics Boise, ID NPI 1245310036
- Randy Demetter, DDSPeriodontics Boise, ID NPI 1275941288
- Jack H. Lincks, DDS, MSPeriodontics Boise, ID NPI 1346224458
- John Howell Mumford, DMDPeriodontics Boise, ID NPI 1639149057
- Bradley Lynn Townsend, DDSPeriodontics Boise, ID NPI 1700994852
- Richard E. Ferguson, DDS, M.S.Periodontics Boise, ID NPI 1710050943
- Christopher Sprott, DMDPeriodontics Boise, ID NPI 1841731957
About NPI 1003027400
Jace C. Hansen, DMD, MS's National Provider Identifier is 1003027400, issued on May 25, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boise, ID. The record was last updated on Jun 23, 2021.