DR. JON HALLIE (NPI# 1063892313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063892313 |
| Entity Type | Individual |
| Full Name | DR. JON HALLIE |
| Credential | D.D.S. |
| Practice Address |
201 4th Ave Nw Roseau MN 56751-1033 |
| Practice Telephone | (218) 463-2553 |
| Practice Fax Number | 2184639464 |
| Mailing Telephone | (218) 463-2553 |
| Mailing Fax Number | 2184639464 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13518 | MN | Dental Providers |
| Street Address |
201 4TH AVE NW |
| City | ROSEAU |
| State | MN |
| Zip Code | 56751-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952478489 | Robert Frank Larson | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739885 | David Simmons | Pharmacist | 715 Delmore Drive, Roseau, MN 56751 | 2017-02-22 |
| 1770841082 | Amber Rohde | Physical Therapist | 44371 350 St., Roseau, MN 56751 | 2012-04-25 |
| 1275632234 | Jack Victor Lundbohm | Chiropractor | 317 2nd St Nw Ste A, Roseau, MN 56751 | 2006-09-22 |
| 1558390336 | Marianne Renae Foldesi | Physician Assistant | 711 Delmore Drive, Roseau, MN 56751 | 2006-07-02 |
| 1871679456 | Roseau/warroad Eye Clinic, P.a. | Optometrist | 306 N Main, Roseau, MN 56751 | 2006-10-27 |
| 1194935619 | Ageless Care,inc | Home Health | 702 7th St Sw, Roseau, MN 56751-0000 | 2007-05-23 |
| 1235176033 | Lorris Galen Vatnsdal II | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-06-01 |
| 1336204536 | Lorris G. Vatnsdal, Ltd. | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-27 |
| 1164584322 | Cynthia Faye Drost-sandy | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-14 |
| 1780822486 | Jack V, Lundbohm Inc | Clinic/Center | 317 2nd St Nw, Suite A, Roseau, MN 56751-1070 | 2009-02-03 |
| Find all providers in zip 56751 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992786966 | Philip Bruce Sallberg | Dentist | 308 Center St W, Roseau, MN 56751-1419 | 2005-11-08 |
| 1346410909 | Philip B. Sallberg, Dds | Dentist | 308 Center St W, Roseau, MN 56751-1419 | 2008-03-10 |
| 1164584322 | Cynthia Faye Drost-sandy | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JON HALLIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.