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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
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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