Dr. Peter Suchol Jang is a Eads, Tennessee based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Peter Suchol Jang is DS 8164 for Orthodontics and Dentofacial Orthopedics in Tennessee. His current practice location is 3161 Highway 64, Suite 400, Eads. Patients can reach him at 901-813-8476.
Dr. Peter Suchol Jang is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Peter Suchol Jang speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Peter Suchol Jang
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
3161 Highway 64, Suite 400, Eads, Tennessee, 38028-3021
Phone:
901-813-8476
Fax:
901-813-8479
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912967431
NPI Enumeration Date:
27 Mar, 2006
NPI Last Update On:
11 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Peter Suchol Jang are as mentioned below.
License Number
Specialization
State
Status
DS 8164
Orthodontics and Dentofacial Orthopedics
Tennessee
Primary
DS 8164
Dentistry
Tennessee
Secondary
3601
Orthodontics and Dentofacial Orthopedics
Arkansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Peter Suchol Jang such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5440084
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3161 Highway 64, Suite 400 Eads, Tennessee
Zip:
38028-3021
Phone Number:
901-813-8476
Fax Number:
901-813-8479
Patients can reach Dr. Peter Suchol Jang at 3161 Highway 64, Suite 400, Eads, Tennessee or can call to book an appointment on 901-813-8476. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.