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NPI Code Detail

MEDICARE: DR. JOHN E RAINVILLE D.D.S.

MEDICARE:  DR. JOHN E RAINVILLE  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD10159MN
21223G0001XGeneral Practice DentistryD10101MN
3124Q00000XDental HygienistH5638MN

General Provider Information

NPI Number : 1811060106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN E RAINVILLE D.D.S.
Provider Business Mailing Address
First Line : 212 1ST AVE SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-3144
Country : US
Telephone Number : 507-285-1121
Fax Number : 507-285-5384
Provider Business Practice Location Address
First Line : 212 1ST AVE SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-3144
Country : US
Telephone Number : 507-285-1121
Fax Number : 507-285-5384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 09/11/2025

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Directions to “ DR. JOHN E RAINVILLE D.D.S.” Practice Location

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