Andre Eugene St Germain, DMD MSCD

Primary specialty

DentistTaxonomy code 122300000X

License

DN106081 Issued in MA

Practice address

Emerald St
Tufts Dental Facility at Wrentham
Wrentham, MA 02093-1902

Phone

(508) 384-8987

Fax

(508) 384-6594

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588794499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "address_2": "30 FRANKLIN TERRACE",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680151",
            "telephone_number": "508-693-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMERALD ST",
            "address_2": "TUFTS DENTAL FACILITY AT WRENTHAM",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931902",
            "telephone_number": "508-384-8987",
            "fax_number": "508-384-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST GERMAIN",
        "first_name": "ANDRE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DMD MSCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN106081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS DENTAL LICENSE",
            "identifier": "DN106081",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shi-III Wrentham LLC
• Shriver Clinical Services
• Sein H. Siao, DMD
• Stephen Signes, RPH
• Kathleen Marie Slack, RN, MSN, PMHNP
• Elisabeth Steiner Smith
• Sukhi Dental PC
• Melissa J Teixeira, R.N.
• The Piller Group
• Town of Wrentham

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.