Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER SUCHOL JANG, D.D.S.
Active Sole ProprietorDR. PETER SUCHOL JANG, D.D.S. is a Orthodontics healthcare provider located in EADS, Tennessee. NPI 1912967431 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · EADS, TN
Registration Details
- NPI Number
- 1912967431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2006 (20.384664218138 yrs)
- Last Updated
- May 11, 2011
- Licenses
-
DS 8164 (TN)DS 8164 (TN)3601 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3161 HIGHWAY 64SUITE 400EADS, TN, 380283021Browse TN providers · Browse ZIP 38028
- Phone
- 9018138476
- Fax
- 9018138479
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.