MEDICARE: DR. FRANK A RAINIERI DMD

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
1	1223G0001X	General Practice Dentistry	3156	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194895698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK A RAINIERI DMD

Provider Business Mailing Address
First Line	:	95 TOP MEADOW LANE
Second Line	:
City	:	BERKELEY SPRINGS
State	:	WV
Zip	:	25411-6073
Country	:	US
Telephone Number	:	304-258-1623
Fax Number	:	304-258-1623

Provider Business Practice Location Address
First Line	:	261 BERKMORE PLACE
Second Line	:	SUITE 1B
City	:	BERKELEY SPRINGS
State	:	WV
Zip	:	25411-6247
Country	:	US
Telephone Number	:	304-258-1623
Fax Number	:	304-258-1623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	07/08/2007

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