1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Dentist
  6. NPI Profile

IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY
NPI 1194175232
Dentist - Periodontics in Boise, ID

Active since June 20, 2016
6019 N EAGLE RD, BOISE, ID 83713(208) 377-2777(208) 377-3075 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho Perio Center For Dental Implants & Laser Periodontal Therapy NPPES

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

IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY (NPI 1194175232) is a healthcare organization registered as a periodontics in Boise, Idaho and active in the NPI registry since June 2016. The organization lists Jace C. Hansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1194175232
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameIDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY
Location Address6019 N EAGLE RDBoise, ID 83713-0997
Mailing Address6019 N Eagle RdBoise, ID 83713-0997 · (208) 377-2777 · Fax (208) 377-3075
Phone(208) 377-2777
Fax(208) 377-3075
Organization SubpartNo
Authorized OfficialJace C. HansenOwner · (208) 377-2777
Enumeration DateJune 20, 2016
✔ NPI 1194175232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6019 N EAGLE RD, Boise, ID 83713
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

ALL ABOUT YOU DENTAL, PC
Clinic/Center (Dental)
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 938-8228
DR. ROBERT WILLIAM ARTHUR FRENCH IX DMD
Dentist
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 938-8228
JHKK PERIODONTICS, PLLC
Dentist (Periodontics)
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 377-2777
DR. KIP T KATSEANES DMD MSD
Dentist
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 377-2777
KRISTEN PAIGE YANT
Dentist
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 377-2777
MR. TAYLOR COLEMAN CLARK DDS
Dentist
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 938-8228
CHRISTOPHER SPROTT DMD
Dentist (Periodontics)
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 377-2777
STACY J. MOON DDS, PA
Clinic/Center (Dental)
6019 N EAGLE RD
BOISE, ID 83713
Ada County (208) 939-7053

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 Idaho Perio Center For Dental Implants & Laser Periodontal Therapy's NPI number?

The NPI number for Idaho Perio Center For Dental Implants & Laser Periodontal Therapy is 1194175232. It was assigned to this organization in the NPPES registry on June 20, 2016.

Where is Idaho Perio Center For Dental Implants & Laser Periodontal Therapy located?

Idaho Perio Center For Dental Implants & Laser Periodontal Therapy is located at 6019 N Eagle Rd, Boise, ID 83713. The listed phone number is (208) 377-2777.

What is Idaho Perio Center For Dental Implants & Laser Periodontal Therapy'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 Idaho Perio Center For Dental Implants & Laser Periodontal Therapy was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.