DR. JACE HANSEN, DMD, MS
Dentist - Periodontics
Active
Individual
NPI: 1003027400
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | D-4290 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1003027400 is the National Provider Identifier for DR. JACE HANSEN, DMD, MS, a Dentist - Periodontics provider located in Boise, ID. This NPI was enumerated on May 25, 2007.
DR. JACE HANSEN, DMD, MS practices at 6019 N. EAGLE RD., Boise, ID 83713.
Quick Facts
- NPI
- 1003027400
- Type
- Individual
- Enumerated
- May 25, 2007
- Last Updated
- Jun 23, 2021
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