DR. John Edward Halversen JR., D.D.S.

NPI #1992919831 in Rockford, Illinois

Provider Information

NPI Number
1992919831
Entity Type
Individual
Name
DR. John Edward Halversen JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 10, 2007
Last Updated
Aug 26, 2025

Practice Location

Address
1200 W STATE ST
ZIP Code
61102-2112
Phone
(815) 490-1600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist

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