Provider Demographics
NPI:1346389111
Name:REINMUTH, RONALD ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALLEN
Last Name:REINMUTH
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:BOX 42
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MN
Mailing Address - Zip Code:55334
Mailing Address - Country:US
Mailing Address - Phone:507-237-2530
Mailing Address - Fax:
Practice Address - Street 1:112 3RD ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MN
Practice Address - Zip Code:55334
Practice Address - Country:US
Practice Address - Phone:507-237-2530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist