# JILL E. HANSEN DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184840548
- **Authorized official:** DR. JILL E HANSEN DDS (PRESIDENT)
- **Authorized official phone:** (253) 858-9169

## Contact information

- **Practice address:** 6659 KIMBALL DR, SUITE D401, GIG HARBOR, WA 98335-5137
- **Practice address phone:** (253) 858-9169
- **Practice address fax:** (253) 853-6681
- **Mailing address:** 6659 KIMBALL DR, SUITE D401, GIG HARBOR, WA 98335-5137
- **Mailing address phone:** (253) 858-9169
- **Mailing address fax:** (253) 853-6681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8740 | WA | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 07/15/2008