NPI age
9 years
Enumerated 2016-06-20
● Active Type 2 · Organization
Idaho Perio Center For Dental Implants & Laser Periodontal Therapy
Idaho Perio Center For Dental Implants & Laser Periodontal Therapy is 1 of 37 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
Owner
Last NPPES update
2016-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 37 active dentist providers in Idaho.
NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
6019 N Eagle Rd
Boise, ID 837130997
Mailing address
6019 N Eagle Rd
Boise, ID 837130997
Authorized official
Jace C. Hansen, DMD MS
Owner
📞 2083772777
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Taylor Clark, DDS Dentist NPI 1780635037
- Robert French, DMD Dentist NPI 1124035472
- Kip Katseanes, DMD MSD Dentist NPI 1366824484
- Christopher Sprott, DMD Dentist NPI 1841731957
- Kristen Yant Dentist NPI 1760163810
Specialties
-
Dentist PrimaryThat 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...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.