| J.m. Hallie Inc. | |
|
201 4th Ave Nw Roseau MN 56751-1033 | |
| (218) 463-2553 | |
| (218) 463-9464 |
| Full Name | J.m. Hallie Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 4th Ave Nw, Roseau, Minnesota |
| Authorized Official Name and Position | Jon M Hallie (CEO) |
| Authorized Official Contact | 2184632553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.m. Hallie Inc. 201 4th Ave Nw Roseau MN 56751-1033 Ph: (218) 463-2553 | J.m. Hallie Inc. 201 4th Ave Nw Roseau MN 56751-1033 Ph: (218) 463-2553 |
| NPI Number | 1407557085 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407557085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Roseau Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 3rd St Ne, Suite A, Roseau, MN 56751 Phone: 218-450-2944 Fax: 218-450-2945 | |
Lorris G. Vatnsdal, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205a 2nd Ave Nw, Roseau, MN 56751 Phone: 218-463-2100 Fax: 218-463-3055 | |
Nghi Trinh-pham, Dds Dental Clinic Medicare: Medicare Enrolled Practice Location: 308 Center St W, Roseau, MN 56751 Phone: 218-463-1070 Fax: 218-463-1170 |