NPI 1639141609

Peter M Tan, DDSMSHS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Frederick, MD

Practice location

Address: 68 Thomas Johnson Dr Suite a, Frederick, MD 21702
Phone: (301) 694-2300
Fax: (301) 694-7372

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 08276 (MD)

Other Oral & Maxillofacial Surgery providers in Maryland →

Registry record

NPI: 1639141609
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2006
Record last updated: 21 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.