Idaho Perio Center For Dental Implants & Laser Periodontal Therapy

LBN: Idaho Perio Center For Dental Implants & Laser Periodontal Therapy
Idaho Perio Center For Dental Implants & Laser Periodontal Therapy is an health care organization with primary practice located at 6019 N Eagle Rd , Boise ID 83713-0997. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Idaho Perio Center For Dental Implants & Laser Periodontal Therapy can be contacted via phone (208) 377-2777, or through Hansen, Jace C. via phone (208) 377-2777.

Contact Information

Primary practice address
6019 N Eagle Rd Boise ID 83713-0997
Phone: (208) 377-2777
Fax: (208) 377-3075
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Jace C. DMD MS
Phone: (208) 377-2777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D-4290 Idaho

Profile Details

NPI number 1194175232
LBN Legal business name Idaho Perio Center For Dental Implants & Laser Periodontal Therapy
DBA Doing business as
Authorized official Hansen, Jace C. DMD MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2016
Last updated Jun 20th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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