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NPI Code Detail

MEDICARE: JANELLE MCKINNON RDH

MEDICARE: JANELLE MCKINNON RDH
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
1124Q00000XDental HygienistRDH3831ME

General Provider Information

NPI Number : 1396621454
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE MCKINNON RDH
Provider Business Mailing Address
First Line : 11 MIDDLE ST APT 1
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5229
Country : US
Telephone Number : 207-560-9200
Fax Number :
Provider Business Practice Location Address
First Line : 11 MIDDLE ST APT 1
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5229
Country : US
Telephone Number : 207-560-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 08/14/2025

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Directions to “ JANELLE MCKINNON RDH” Practice Location

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