SearchMarylandOral and Maxillofacial Surgery (Dentist)

Peter Tan, DDS

NPI 1932585916 · on the registry since 2015 · sole proprietor

Practice

Address
2480 Llewellyn Ave
Fort George G Meade, MD 20755
Phone
(301) 677-8956
Organisation at this address
Kimbrough Amblatory Care Center
Kimbrough Ambulatory Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
128

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Dentist
Licence states on file
MD, WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland