Jace C. Hansen is a Periodontics in Boise, Idaho. Jace C. Hansen practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jace C. Hansen is 1003027400. The last update date is 2021-06-23.
Jace C. Hansen's current location address is 6019 N. Eagle Rd., Boise, Idaho. You can contact this provider via phone number 2083772777 and fax number 2083773075. The mailing address for Jace C. Hansen is 6019 N. Eagle Rd., Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jace C. Hansen |
|---|---|
| Address | 6019 N. Eagle Rd., Boise, Idaho |
| Phone Number | 2083772777 |
| Fax Number | 2083773075 |
| Sole Proprietor | Y |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1003027400 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
| Address | 6019 N. Eagle Rd. |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83713 |
| Phone Number | 2083772777 |
| Fax Number | 2083773075 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D-4290 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jace C. Hansen by the Centers for Medicare & Medicaid Services?
The Jace C. Hansen has been assigned the NPI (National Provider Identifier) 1003027400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jace C. Hansen's physical address?
The Jace C. Hansen is physically located at 6019 N. Eagle Rd., in the city of Boise, ID, with the postal code 83713.
What is the Jace C. Hansen's specialty and taxonomy code?
The Jace C. Hansen's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did the Jace C. Hansen receive its 1003027400?
The Jace C. Hansen was issued its 1003027400 on 2007-05-25, which is the date when the organization was assigned this unique identifier.
When was the Jace C. Hansen's information last updated?
The Jace C. Hansen's information was last updated on 2021-06-23.