OrganizationActive
Guy M. Hanson, DDS, PA
NPI 1003858630 · Clinic/Center · Boise, ID
Provider details
- NPI number
- 1003858630
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Guy Hanson, Owner(208) 375-1012
- License
- D1850 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9203 W Overland Rd
Boise, ID 83709-2502
Phone: (208) 375-1012
Fax: (208) 375-1098
Approximate (ZIP-level) locationGet directions
Mailing address
9203 W Overland Rd
Boise, ID 83709-2502
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.