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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETHAN TIN DDS
NPI 1669428041
Dentist - Oral and Maxillofacial Surgery in Bronx, NY

Active since May 26, 2006
1940 GRAND CONCOURSE, BRONX, NY 10457(718) 583-6347(718) 583-8047 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pethan Tin Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETHAN TIN DDS (NPI 1669428041) is an individual oral and maxillofacial surgery provider in Bronx, New York, licensed in New York (052227) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1669428041
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NamePETHAN TINCredential: DDS
Location Address1940 GRAND CONCOURSEBronx, NY 10457-5221
Mailing Address120 W 86th StNew York, NY 10024-4021 · (917) 714-7593
Phone(718) 583-6347
Fax(718) 583-8047
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1669428041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 052227
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1940 GRAND CONCOURSE, Bronx, NY 10457
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN W CARNEY DDS
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-6347
DR. LLISENIA E. RIVERA D.M.D
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-6347
LUIS RENE DELGADO DMD
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-6347
BARTLEY R. LABINER DDS
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-6347
BARTLEY R. LABINER,DDS
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-6347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pethan Tin's NPI number?

The NPI number for Pethan Tin is 1669428041. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Pethan Tin located?

Pethan Tin practices at 1940 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 583-6347.

What is Pethan Tin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Pethan Tin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Pethan Tin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pethan Tin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.