DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JON HALLIE, D.D.S.

Active Sole Proprietor

DR. JON HALLIE, D.D.S. is a Dentist healthcare provider located in ROSEAU, Minnesota. NPI 1063892313 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROSEAU, MN

Registration Details

NPI Number
1063892313
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2015 (11.175625923058 yrs)
Last Updated
Jul 21, 2022
License
D13518 (MN)
Sole Proprietor
Yes

Practice Information

Address
201 4TH AVE NW
ROSEAU, MN, 567511033
Browse MN providers · Browse ZIP 56751
Phone
2184632553
Fax
2184639464
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ROSEAU, MN

Name Credential NPI
PHILIP BRUCE SALLBERG DDS 1992786966
DR. NGHI TRINH-PHAM D.D.S. 1316047798
DR. CYNTHIA FAYE DROST-SANDY DDS 1164584322
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.