Individual provider · Type 1 NPI

John Edward Halversen Jr., DDS

Dentist · Rockford, IL

NPI number 1992919831 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Call (815) 490-1600 Map

Fax (815) 490-1881

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019-021620 (IL)
Dentist Primary 122300000X019021620 (IL)

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 requiremen…

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About NPI 1992919831

John Edward Halversen Jr., DDS's National Provider Identifier is 1992919831, issued on May 10, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rockford, IL. The record was last updated on Aug 26, 2025.