Dr. Jace C. Hansen, DMD, MS - Boise, ID

Dr. Jace C. Hansen, DMD,MS

Student in an Organized Health Care Education/Training Program in Boise, Idaho

NPI 1003027400

Jace C. Hansen is a Student in an Organized Health Care Education/Training Program based in Boise, ID. Jace C. Hansen practices in Boise, ID and has the professional credentials of DMD,MS. The NPI Number for Jace C. Hansen is 1003027400 and holds a License No. D-4290 (Idaho).

The current practice location address for Jace C. Hansen is 6019 N. Eagle Rd., Boise, ID and can be reached out via phone at 208-377-2777 and via fax at 208-377-3075.

Location: 6019 N. Eagle Rd., Boise, ID, 83713

NPI Number

1003027400

Provider Name

Jace C. Hansen

Credential

DMD,MS

Provider Entity Type

Individual

Gender

Male

Address

6019 N. Eagle Rd., Boise, ID, 83713

Phone Number

208-377-2777

Fax Number

208-377-3075

Provider Enumeration Date

05/25/2007

Last Update Date

03/09/2024

Address

6019 N. Eagle Rd.

City

Boise

State

Idaho

Zip

83713

Phone Number

208-377-2777

Fax Number

208-377-3075

Address

6019 N. Eagle Rd.

City

Boise

State

Idaho

Zip

83713

Phone Number

208-377-2777

Fax Number

208-377-3075

Type

Dental Providers

Classification

Dentist

Speciality

Periodontics

Taxonomy

1223P0300X

License No.

(Kentucky)

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 structures and tissues.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

D-4290 (Idaho)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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