Individual provider · Type 1 NPI

Timothy A. Hansen, DDS

Dentist · Meridian, ID

NPI number 1215911920 Active

Practice location

4702 N Penngrove Way Ste 100
Meridian, ID 83646-7449

Fax (208) 938-5763

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD3513 (ID)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1215911920

Timothy A. Hansen, DDS's National Provider Identifier is 1215911920, issued on Dec 6, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Meridian, ID. The record was last updated on Jun 4, 2026.