Individual provider · Type 1 NPI
Peter M. Tan Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Fort George G Meade, MD
Practice location
2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Mailing address
1553 Hugo Cir
Silver Spring, MD 20906-5918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 15999 (MD) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4367 (WV) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1932585916
Peter M. Tan Jr., DDS's National Provider Identifier is 1932585916, issued on Aug 3, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort George G Meade, MD. The record was last updated on Jun 13, 2022.