Idaho Perio Center for Dental Implants & Laser Periodontal Therapy
Idaho Perio Center for Dental Implants & Laser Periodontal Therapy provides Periodontics in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
6019 N Eagle RdBoise, ID 83713-0997 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 377-2777
Fax: (208) 377-3075
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D-4290 (ID) |
|---|
Record details
| NPI number | 1194175232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jace Hansen — Owner · (208) 377-2777 |
| NPI enumerated | June 20, 2016 |
| Last updated in NPPES | June 20, 2016 |
| Mailing address | 6019 N Eagle Rd, Boise, ID 83713-0997 |
Other providers in Boise
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Randy Demetter, DDS
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Richard E Ferguson, DDS, MS
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Michael John Florence, DMD
140 E Boise Ave, Boise, ID 83706 · (208) 385-9228
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Dr. Jace C. Hansen, DMD, MS
6019 N Eagle Rd, Boise, ID 83713 · (208) 377-2777
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Jhkk Periodontics, PLLC
6019 N Eagle Rd, Boise, ID 83713-0997 · (208) 377-2777
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Jhkk Periodontics, PLLC
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Dr. Jack H Lincks, DDS, MS
140 E Boise Ave, Boise, ID 83706-4373 · (208) 385-9228
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Dr. John Howell Mumford, DMD
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