# J CLAYTON HANSEN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palouse View Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558458281
- **Authorized official:** JAY CLAYTON HANSEN DDS (DENTIST/OWNER)
- **Authorized official phone:** (208) 882-4923

## Contact information

- **Practice address:** 1526 S LEVICK ST, MOSCOW, ID 83843-2560
- **Practice address phone:** (208) 882-4923
- **Practice address fax:** (208) 882-8418
- **Mailing address:** 1526 S LEVICK ST, MOSCOW, ID 83843-2560
- **Mailing address phone:** (208) 882-4923
- **Mailing address fax:** (208) 882-8418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D3853 | ID | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 04/26/2012