Provider Demographics
NPI:1225128978
Name:HALONEN, RODNEY JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:JOHN
Last Name:HALONEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HERITAGE OAK LN
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4281
Mailing Address - Country:US
Mailing Address - Phone:269-979-3400
Mailing Address - Fax:269-979-3484
Practice Address - Street 1:9 HERITAGE OAK LN
Practice Address - Street 2:SUITE #4
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4281
Practice Address - Country:US
Practice Address - Phone:269-979-3400
Practice Address - Fax:269-979-3484
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2963466Medicaid