P Praxis·MD
● Active Type 2 · Organization

Bryce D Hanson, DMD PA

Clinic/Center·Shelley, ID· NPI 1851798045 · Enumerated 2014 · 11 years on NPI
Bryce D Hanson, DMD PA is 1 of 202 clinic/center organizations in Idaho.
NPI age
11 years
Enumerated 2014-12-03
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hanson
Owner
Last NPPES update
2014-12-03
Source: monthly bulk 2026-05

How this organization compares

Across 202 active clinic/center providers in Idaho.

NPI age
11 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-12Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
371 W Fir St
Shelley, ID 832741456
📞 2083577611fax 2083571805
Mailing address
Po Box 525
Shelley, ID 832740525
📞 2083577611fax 2083571805

Authorized official

Bryce D Hanson, DMD
Owner
📞 2083577611

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #D-3275 taxonomy 261QD0000X

Identifiers

TypeValueNotes
05 (ID) 0025-57200
05 (ID) 119-477-4109
05 (ID) 8050-31700

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • River Valley Dental Care
    Type code 3 recorded 2014-12-03

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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