DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAY CLAYTON HANSEN II, DDS

Active Sole Proprietor

JAY CLAYTON HANSEN II, DDS is a Dentist healthcare provider located in MOSCOW, Idaho. NPI 1609129519 is currently active in the NPPES registry. Verify at CMS.

Dentist · MOSCOW, ID

Registration Details

NPI Number
1609129519
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2012 (13.793611388167 yrs)
Last Updated
Oct 17, 2012
License
D3853 (ID)
Sole Proprietor
Yes

Practice Information

Address
1526 S LEVICK ST
MOSCOW, ID, 838432560
Browse ID providers · Browse ZIP 83843
Phone
2088824923
Fax
2088828418
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MOSCOW, ID

Name Credential NPI
RICHARD LEE GEORGE DDS 1346300456
MR. BENJAMIN ROSS BOWEN DDS 1447379003
JEFF KLINE 1649493958
GRIFFIN GUESS D.M.D. 1376818211
TRANG MINH DOAN DDS 1659825073
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.