DR. Jace C. Hansen, DMD, MS

NPI #1003027400 in Boise, Idaho

Provider Information

NPI Number: 1003027400
Entity Type: Individual
Name: DR. Jace C. Hansen, DMD, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD, MS
Enumeration Date: May 25, 2007
Last Updated: Jun 23, 2021

Practice Location

Address: 6019 N. EAGLE RD.
City: Boise
State: Idaho
ZIP Code: 83713
Phone: (208) 377-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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