| Dr Bryce D Hanson, DMD | |
|
371 W Fir St, Shelley, ID 83274-1456 | |
| (208) 357-7611 | |
| (208) 357-1805 |
| Full Name | Dr Bryce D Hanson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 371 W Fir St, Shelley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629027099 | NPI | - | NPPES |
| 805031700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-3275 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryce D Hanson, DMD Po Box 525, 371 W.fir, Shelley, ID 83274-0525 Ph: (208) 357-7611 | Dr Bryce D Hanson, DMD 371 W Fir St, Shelley, ID 83274-1456 Ph: (208) 357-7611 |
Dr. Steven F Nielsen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 371 W Fir St, Shelley, ID 83274 Phone: 208-357-7611 Fax: 208-357-1805 | |
Dr. Curtis W Carpenter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 295 Anderson Rd, Shelley, ID 83274 Phone: 208-419-0821 | |
Dr. John R Stohl, Dentist Medicare: Not Enrolled in Medicare Practice Location: 530 S State St, Shelley, ID 83274 Phone: 208-357-2400 Fax: 208-357-2414 |