MEDICARE: GERMAIN JEAN CHARLES DDS PC

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
1	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558900605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERMAIN JEAN CHARLES DDS PC

Provider Business Mailing Address
First Line	:	25 HIGHVIEW TRL
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-3441
Country	:	US
Telephone Number	:	718-812-2869
Fax Number	:

Provider Business Practice Location Address
First Line	:	344 N MAIN ST
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1030
Country	:	US
Telephone Number	:	585-394-5910
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GERMAIN JEAN-CHARLES
Credential	:	DDS
Telephone Number	:	585-394-5910

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	12/08/2025

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