Individual provider · Type 1 NPI
Peter Suchol Jang, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Eads, TN
Practice location
3161 Highway 64, Suite 400
Eads, TN 38028-3021
Fax (901) 813-8479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS 8164 (TN) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DS 8164 (TN) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3601 (AR) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1912967431
Peter Suchol Jang, DDS's National Provider Identifier is 1912967431, issued on Mar 27, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Eads, TN. The record was last updated on May 11, 2011.