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DR. JACE C. HANSEN DMD, MS
NPI 1003027400
Dentist - Periodontics in Boise, ID

Active since May 25, 2007
6019 N. EAGLE RD., BOISE, ID 83713(208) 377-2777(208) 377-3075 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2021, Oct 16, 2018 (2 updates tracked since 2018).

About Dr. Jace C. Hansen Dmd, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACE C. HANSEN DMD, MS (NPI 1003027400) is an individual periodontics provider in Boise, Idaho, licensed in Idaho (D-4290) and active in the NPI registry since May 2007. He maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1003027400
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JACE C. HANSENCredential: DMD, MS
Location Address6019 N. EAGLE RD.Boise, ID 83713
Mailing Address6019 N. Eagle Rd.Boise, ID 83713 · (208) 377-2777 · Fax (208) 377-3075
Phone(208) 377-2777
Fax(208) 377-3075
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1003027400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ID · D-4290
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6019 N. EAGLE RD., Boise, ID 83713
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Secondary Practice Location 1

Location 12273 S Vista Ave Ste 110Boise, ID 83705-7350 · Phone (208) 377-2777 · Fax (208) 377-3075

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY LYNN TOWNSEND DDS
Dentist (Periodontics)
6019 N. EAGLE RD.
BOISE, ID 83713
Ada County (208) 377-2777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jace Hansen's NPI number?

The NPI number for Jace Hansen is 1003027400. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Jace Hansen located?

Jace Hansen practices at 6019 N. Eagle Rd., Boise, ID 83713. The listed phone number is (208) 377-2777.

What is Jace Hansen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jace Hansen was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.