Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACE C. HANSEN, DMD, MS
Active Sole ProprietorDR. JACE C. HANSEN, DMD, MS is a Periodontology healthcare provider located in BOISE, Idaho. NPI 1003027400 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BOISE, ID
Registration Details
- NPI Number
- 1003027400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2007 (19.18140017977 yrs)
- Last Updated
- Jun 23, 2021
- License
-
D-4290 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6019 N. EAGLE RD.BOISE, ID, 83713Browse ID providers · Browse ZIP 83713
- Phone
- 2083772777
- Fax
- 2083773075
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Student (Health Education/Training)
Other Periodontology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. JACK H LINCKS | DDS, MS | 1346224458 |
| DR. JOHN HOWELL MUMFORD | D.M.D. | 1639149057 |
| MICHAEL JOHN FLORENCE | DMD | 1235147281 |
| DR. BRADLEY LYNN TOWNSEND | DDS | 1700994852 |
| KENNETH G. SHERMAN II | DDS | 1245310036 |
| RICHARD E FERGUSON | D.D.S., M.S. | 1710050943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.