Charles G St John DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

13458 Issued in MA

Legal business name

CHARLES G ST JOHN DMD PC

Practice address

251 Main St
Dalton, MA 01226-1642

Phone

(413) 684-1240

Fax

(413) 684-8925

NPI assigned

Feb 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Guerin St John, DMDNPI 1205936978

Title

President

Phone

(413) 684-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Guerin St John, DMD

  • General Practice Dentistry
  • Dalton, MA
  • NPI 1205936978
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1265601512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261642",
            "telephone_number": "413-684-1240",
            "fax_number": "413-684-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261642",
            "telephone_number": "413-684-1240",
            "fax_number": "413-684-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G ST JOHN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GUERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-684-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "13458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "X10161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John F Burnham Jr., MD
• J Patrick Carsell, D.D.S.
• Lynn Marie Casella, MSW
• Central Berkshire Regional School District
• Elizabeth Jane Cervone, PT
• Ann Connolly
• Dalton Ambulance and Rescue Inc
• Dalton Fire District
• Dalton Health Group LLC
• Dalton Medical Associates, LLP

• Dentist in Dalton, MA
• Providers in Dalton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.