Search › Idaho › 1223P0300X
Jace Hansen, DMD, MS
NPI 1003027400 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6019 N. Eagle Rd.
Boise, ID 83713 - Phone
- (208) 377-2777
- Fax
- (208) 377-3075
- Organisation at this address
- Stacy J. Moon Dds, Pa
Jhkk Periodontics, Pllc
All About You Dental, Pc
Idaho Perio Center For Dental Implants & Laser Periodontal TherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 2273 S Vista Ave Ste 110, Boise, ID
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 390200000X
- Licence states on file
- ID, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho