Provider Demographics
NPI:1124164280
Name:GERMAIN, PIERRE PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:PAUL
Last Name:GERMAIN
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 1:1821 SANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18509-1854
Mailing Address - Country:US
Mailing Address - Phone:570-346-2244
Mailing Address - Fax:570-346-2245
Practice Address - Street 1:1821 SANDERSON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18509-1854
Practice Address - Country:US
Practice Address - Phone:570-346-2244
Practice Address - Fax:570-346-2245
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025865-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist