Dr Peter Suchol Jang, DDS - Dentist in Eads, TN

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Dr Peter Suchol Jang, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Eads, Tennessee. Dr Peter Suchol Jang is licensed to practice in Tennessee (license number DS 8164) and his current practice location is 3161 Highway 64, Suite 400, Eads, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 813-8476.

NPI number for Dr Peter Suchol Jang is 1912967431 and his current mailing address is 3161 Highway 64, Suite 400, Eads, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912967431.

Contact Information

Dr Peter Suchol Jang, DDS
3161 Highway 64, Suite 400,
Eads, TN 38028-3021
(901) 813-8476
(901) 813-8479

Map and Direction




Healthcare Provider's Profile

Full NameDr Peter Suchol Jang
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location3161 Highway 64, Eads, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912967431
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 05/11/2011

Medical Identifiers

Medical identifiers for Dr Peter Suchol Jang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912967431NPI-NPPES
5440084MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DS 8164 (Tennessee)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics DS 8164 (Tennessee)Primary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 3601 (Arkansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Suchol Jang is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter Suchol Jang, DDS
3161 Highway 64, Suite 400,
Eads, TN 38028-3021

Ph: (901) 813-8476		Dr Peter Suchol Jang, DDS
3161 Highway 64, Suite 400,
Eads, TN 38028-3021

Ph: (901) 813-8476

Reviews and Comments


Dentist in Eads, TN

Dr. Stacey Sanders Parker, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2735 Highway 64, Suite 205, Eads, TN 38028
Phone: 901-466-0404    
Kaylie Jerrolds,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3159 Highway 64 Ste 100, Eads, TN 38028
Phone: 901-465-2382    
Dr. Paige Gassmann, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3159 Highway 64 Ste 100, Eads, TN 38028
Phone: 901-465-2382    

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