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Dr. Jace C. Hansen

Periodontist

6019 N. Eagle Rd.
Boise , Idaho 83713

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Dr. Jace C. Hansen

Periodontist

6019 N. Eagle Rd.
Boise , Idaho 83713

(208) 377-3075

Write a Review Save Call

Dr. Jace C. Hansen

Periodontist

6019 N. Eagle Rd.
Boise , Idaho 83713

(208) 377-3075 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

6019 N. Eagle Rd. Boise , Idaho 83713

First Address

  • Dr. Jace C. Hansen
  • 6019 N. Eagle Rd.
  • Boise, ID
  • Zip : 83713
  • Fax : (208) 377-3075
  • Phone : (208) 377-2777

Second Address

  • Dr. Jace C. Hansen
  • 6019 N. Eagle Rd.
  • Boise, ID
  • Zip : 83713
  • Fax : (208) 377-3075
  • Phone : (208) 377-2777

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FAQs


Where did Dr. Jace C. Hansen attend graduate school?

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Where did Dr. Jace C. Hansen do his residency?

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Where did Dr. Jace C. Hansen do his fellowship?

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Is Dr. Jace C. Hansen board certified?

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What type of doctor is Dr. Jace C. Hansen

Periodontist

In what state does Dr. Jace C. Hansen practice in?

Idaho

Where is Dr. Jace C. Hansen ’s practice located?

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

What is Dr. Jace C. Hansen ’s gender?

Male

Is Dr. Jace C. Hansen a sole practitioner?

No

Is Dr. Jace C. Hansen accepting new patients?

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What languages does Dr. Jace C. Hansen speak?

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Does Dr. Jace C. Hansen accept insurance?

Yes, Dr. Jace C. Hansen accepts insurance

Does Dr. Jace C. Hansen offers telemedicine?

Dr. Jace C. Hansen has not indicated if he offers telemedicine

What is Dr. Jace C. Hansen ’s professional license number?

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What is Dr. Jace C. Hansen ’s NPI number?

1003027400

Does Dr. Jace C. Hansen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist D-4290 ID

National Provider Identifier

NPI 1003027400
Provider Name Dr. Jace C. Hansen
First Address Boise, ID 83713
Second Address Boise, ID 83713
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 25/05/2007
Last Update Date 23/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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