DR. PETER SUCHOL JANG D.D.S.
NPI 1912967431
Dentist - Orthodontics and Dentofacial Orthopedics in Eads, TN

Active since March 27, 2006
3161 HIGHWAY 64, SUITE 400, EADS, TN 38028(901) 813-8476(901) 813-8479 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter Suchol Jang D.d.s. NPPES

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

DR. PETER SUCHOL JANG D.D.S. (NPI 1912967431) is an individual orthodontics and dentofacial orthopedics provider in Eads, Tennessee, licensed in Tennessee (DS 8164) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1912967431
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. PETER SUCHOL JANGCredential: D.D.S.
Location Address3161 HIGHWAY 64, SUITE 400Eads, TN 38028-3021
Mailing Address3161 Highway 64, Suite 400Eads, TN 38028-3021 · (901) 813-8476 · Fax (901) 813-8479
Fax(901) 813-8479
Sole ProprietorYes
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 11, 2011
NPI 1912967431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in TN · DS 8164 Licensed in AR · 3601
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License DS 8164 (TN)
3161 HIGHWAY 64, Eads, TN 38028

Other Identifiers 1

Medicaid5440084TN

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
3161 HIGHWAY 64, SUITE 100
EADS, TN 38028

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 Peter Jang's NPI number?

The NPI number for Peter Jang is 1912967431. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Peter Jang located?

Peter Jang practices at 3161 Highway 64 Suite 400, Eads, TN 38028. The listed phone number is (901) 813-8476.

What is Peter Jang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Peter Jang accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Peter Jang 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 Peter Jang was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.