DR. JEFFREY P. HALVORSON (NPI# 1760403521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760403521 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY P. HALVORSON |
| Credential | D.D.S, M.S. |
| Practice Address |
4355 Sawkaw Dr Ne Grand Rapids MI 49525-1768 |
| Practice Telephone | 6163616609 |
| Practice Fax Number | 6163616248 |
| Mailing Telephone | 6163616609 |
| Mailing Fax Number | 6163616248 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
13465 | MI | Dental Providers |
| Street Address |
4355 SAWKAW DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861419640 | Halvorson & Hembrough D.d.s, .m.s., PC | Dentist | 4355 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 | 2006-07-16 |
| 1578584330 | Michael W. Hembrough | Dentist | 4355 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568684959 | West Michigan Endodontists | Dentist | 3366 Burton Street, Se, Grand Rapids, MI 49546-5343 | 2007-05-03 |
| 1912129909 | Andrew Richard Drerup | Dentist | 3366 Burton Se, Grand Rapids, MI 49546 | 2007-05-02 |
| 1780701524 | Scott Jeffrey Hodges | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-03-26 |
| 1912913153 | David C Gruber | Dentist | 3320 Alpine Ave Nw, Grand Rapids, MI 49544-1677 | 2006-07-31 |
| 1861419640 | Halvorson & Hembrough D.d.s, .m.s., PC | Dentist | 4355 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 | 2006-07-16 |
| 1932554995 | Forest Hills Dental, P.C. | Dentist | 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546-3665 | 2016-04-27 |
| 1578952032 | A A Doering Endodontics Pllc | Dentist | 2450 44th St Se, 201, Grand Rapids, MI 49512-9081 | 2015-01-21 |
| 1952514242 | Lawrence Raymond Marcotte | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-05-07 |
| 1902028590 | Geoffrey Hunt Robert | Dentist | 3366 Burton Se, Grand Rapids, MI 49546 | 2007-05-03 |
| 1043438286 | Aric C. Smith | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-04-23 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on DR. JEFFREY P. HALVORSON.
| 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.