DR. Peter Suchol Jang, D.D.S.

NPI #1912967431 in Eads, Tennessee

Provider Information

NPI Number: 1912967431
Entity Type: Individual
Name: DR. Peter Suchol Jang, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S.
Enumeration Date: Mar 27, 2006
Last Updated: May 11, 2011

Practice Location

Address: 3161 HIGHWAY 64
Address 2: SUITE 400
City: Eads
State: Tennessee
ZIP Code: 38028-3021
Phone: (901) 813-8476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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