Peter M Tan in Frederick - Oral & Maxillofacial Surgery

Peter M Tan - NPI 1639141609

Peter M Tan is a Oral & Maxillofacial Surgery in Frederick, Maryland. Peter M Tan practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Peter M Tan is 1639141609. The last update date is 2010-06-21.

Peter M Tan's current location address is 68 Thomas Johnson Dr, Frederick, Maryland. You can contact this provider via phone number 3016942300 and fax number 3016947372. The mailing address for Peter M Tan is 68 Thomas Johnson Dr, Frederick, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter M Tan
Address 68 Thomas Johnson Dr, Frederick, Maryland
Phone Number 3016942300
Fax Number 3016947372
Sole Proprietor N
Credentials DDS MSHS

NPI Number Detail

NPI Number 1639141609
Provider Enumeration Date 2006-02-03
Last Updated Date 2010-06-21

Provider Mailing Address Detail

Address 68 Thomas Johnson Dr
City Frederick
State Maryland (MD)
Post Code 21702
Phone Number 3016942300
Fax Number 3016947372

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 8276
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37385 DENTAL BENEFIT PROVIDERS
952901 UCCI
410662 MAMSI
60443 TRICARE PRIME
DE94 BCBS DENTAL

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FAQs about Peter M Tan

What is the unique 10-digit identifier code assigned to Peter M Tan by the Centers for Medicare & Medicaid Services?

The Peter M Tan has been issued the NPI (National Provider Identifier) 1639141609 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Peter M Tan?

The Peter M Tan is situated at 68 Thomas Johnson Dr, in the city of Frederick, state of MD, with the zip code 21702.

What is the Peter M Tan's area of specialization and corresponding taxonomy classification?

The Peter M Tan's specialty field is Oral & Maxillofacial Surgery, and it falls under the taxonomy code 204E00000X, which categorizes healthcare providers based on their specialties.

When was the Peter M Tan's 1639141609 issued?

The Peter M Tan's 1639141609 was issued on 2006-02-03.

When was the information pertaining to Peter M Tan most recently updated or revised?

The details related to Peter M Tan, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-21.

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