Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER M TAN JR., DDS
Active Sole ProprietorDR. PETER M TAN JR., DDS is a Oral & Maxillofacial Surgery healthcare provider located in FORT GEORGE G MEADE, Maryland. NPI 1932585916 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT GEORGE G MEADE, MD
Registration Details
- NPI Number
- 1932585916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2015 (11.030547764223 yrs)
- Last Updated
- Jun 13, 2022
- Licenses
-
15999 (MD)4367 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2480 LLEWELLYN AVEFORT GEORGE G MEADE, MD, 207557081Browse MD providers · Browse ZIP 20755
- Phone
- 3016778956
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.