Tan, Peter M
Tan, Peter M is an individual health care provider with primary practice located at 68 Thomas Johnson Dr Suite A, Frederick MD 21702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Tan, Peter M can be contacted via phone (301) 694-2300.Contact Information
Primary practice address
68 Thomas Johnson Dr Suite A
Frederick MD 21702
Phone: (301) 694-2300
Fax: (301) 694-7372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 08276 | Maryland |
Profile Details
| NPI number | 1639141609 |
|---|---|
| LBN Legal business name | Tan, Peter M |
| Credentials | DDS MSHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jun 21st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639141609 | NPPES |
| Other | 37385 | DENTAL BENEFIT PROVIDERS | |
| Other | 952901 | DENTAL BENEFIT PROVIDERS | |
| Other | 410662 | DENTAL BENEFIT PROVIDERS | |
| Other | 60443 | DENTAL BENEFIT PROVIDERS | |
| Other | DE94 | DENTAL BENEFIT PROVIDERS |
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