To Dial Saint Pierre and Miquelon, you should start with dialing the PM international code +508 then the appropriate area code and the local number.

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How to dial Saint Pierre and Miquelon
Example phone dialings for Saint Pierre and Miquelon
NationalInternational
Fixed Line043 01 23+508 43 01 23
Mobile055 12 34+508 55 12 34
Fixed Line Or Mobile043 01 23+508 43 01 23