Local City Search for Surgeons and Surgical Clinics PETER M TAN DDS MSHS
Surgery Yellow Pages
Frederick, Maryland
Provider NPI: 1639141609
Provider Information:PETER M TAN DDS MSHS
Practice Location:
68 THOMAS JOHNSON DR SUITE A FREDERICK, MD 21702 US
Tel: 301-694-2300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | MD | 08276 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS DENTAL | DE94 | 01 | |
| DENTAL BENEFIT PROVIDERS | 37385 | 01 | |
| UCCI | 952901 | 01 | |
| MAMSI | 410662 | 01 | |
| TRICARE PRIME | 60443 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
