Paul Hansen, D.D.S
NPI 1831415447 · on the registry since 2010 · sole proprietor
Practice
- Address
- 625 W Bridge St
Blackfoot, ID 83221 - Phone
- (208) 785-2685
- Fax
- (208) 785-0998
- Organisation at this address
- The Family Dental Center, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho