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Peter M Tan, DDSMSHS
Oral & Maxillofacial Surgery (D.M.D.) in Frederick, Maryland
NPI 1639141609

Peter M Tan is a Oral & Maxillofacial Surgery (D.M.D.) based in Frederick, MD. Peter M Tan practices in Frederick, MD and has the professional credentials of DDSMSHS. The NPI Number for Peter M Tan is 1639141609 and holds a License No. 08276 (Maryland).

The current practice location address for Peter M Tan is 68 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-694-2300 and via fax at 301-694-7372.

Location: 68 Thomas Johnson Dr, Frederick, MD, 21702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639141609
Provider Name
Peter M Tan
Credential
DDSMSHS
Provider Entity Type
Individual
Gender
Male
Address
68 Thomas Johnson Dr, Frederick, MD, 21702
Phone Number
301-694-2300
Fax Number
301-694-7372
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37385 01 DENTAL BENEFIT PROVIDERS
952901 01 UCCI
410662 01 MAMSI
60443 01 TRICARE PRIME
DE94 01 BCBS DENTAL
institution
Provider Business Practice Location Address Details
Address
68 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702
Phone Number
301-694-2300
Fax Number
301-694-7372
person
Provider Business Mailing Address Details
Address
68 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702
Phone Number
301-694-2300
Fax Number
301-694-7372
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
08276 (Maryland)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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