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Bryce Hanson, D.M.D — NPI 1629027099, Shelley, ID | NPI Central

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NPI 1629027099

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Bryce Hanson, D.M.D

NPI 1629027099 · Dentist · Shelley, ID

Provider details

NPI number: 1629027099
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.M.D
Sex: Male
Sole proprietor: No
License: D-3275 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D-3275 (ID)
Dental Providers

Practice location

371 W Fir St

Shelley, ID 83274-1456

Phone: (208) 357-7611

Fax: (208) 357-1805

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 525

Shelley, ID 83274-0525

Registry dates

Enumerated: 2006-05-10
Last updated: 2023-10-12
Certified: 2023-10-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.