Individual
GEOFFREY THOMAS HALVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 ALLIED DR, LITTLE ROCK, AR 72202-2013
(501) 437-8911
Mailing address
221 MEADOW LN, MADISON, IN 47250-2511
(812) 599-5295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4799
AR
Other
Enumeration date
05/14/2024
Last updated
08/09/2025
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