OrganizationActive
Idaho Perio Center for Dental Implants & Laser Periodontal Therapy
NPI 1194175232 · Periodontics · Boise, ID
Idaho Perio Center for Dental Implants & Laser Periodontal Therapy is a Periodontics organization in Boise, ID (NPI 1194175232).
Provider details
- NPI number
- 1194175232
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jace Hansen, Owner(208) 377-2777
- License
- D-4290 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6019 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 377-2777
Fax: (208) 377-3075
Street-level locationGet directions
Mailing address
6019 N Eagle Rd
Boise, ID 83713-0997
Registry dates
- Enumerated
- 2016-06-20
- Last updated
- 2016-06-20
Frequently asked questions
- What is Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's NPI number?
- Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's National Provider Identifier (NPI) is 1194175232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Perio Center for Dental Implants & Laser Periodontal Therapy?
- Idaho Perio Center for Dental Implants & Laser Periodontal Therapy is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Idaho Perio Center for Dental Implants & Laser Periodontal Therapy located?
- Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's practice location on file with NPPES is 6019 N Eagle Rd, Boise, ID 83713-0997.
- What is Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's phone number?
- The practice phone number listed in the NPPES registry for Idaho Perio Center for Dental Implants & Laser Periodontal Therapy is (208) 377-2777.
- Who is the authorized official for Idaho Perio Center for Dental Implants & Laser Periodontal Therapy?
- The authorized official listed on Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's NPPES record is Jace Hansen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's NPI active?
- Yes — Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's NPI (1194175232) is active in the NPPES registry as of the last update on 2016-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.