Individual
DR. PETER SUCHOL JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3161 HIGHWAY 64, SUITE 400, EADS, TN 38028-3021
(901) 813-8476
(901) 813-8479
Mailing address
3161 HIGHWAY 64, SUITE 400, EADS, TN 38028-3021
(901) 813-8476
(901) 813-8479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS 8164
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3601
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS 8164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440084
—
TN
Enumeration date
03/27/2006
Last updated
05/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us