Dr. Jace C. Hansen, DMD, MS
Dr. Jace C. Hansen, DMD, MS is a Periodontics in Boise, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Kentucky.
- Licensed in
- ID, KY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
6019 N Eagle RdBoise, ID 83713
Phone: (208) 377-2777
Fax: (208) 377-3075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2273 S Vista Ave Ste 110, Boise, ID 83705-7350 — (208) 377-2777
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D-4290 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (KY) |
Record details
| NPI number | 1003027400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD , MS |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2007 |
| Last updated in NPPES | June 23, 2021 |
| Certification date | June 23, 2021 |
| Mailing address | 6019 N. Eagle Rd., Boise, ID 83713 |
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