Pethan Tin, DDS - Dentist in Bronx, NY

Pethan Tin, DDS is a Dentist - Oral And Maxillofacial Surgery based in Bronx, New York. Pethan Tin is licensed to practice in New York (license number 052227) and his current practice location is 1940 Grand Concourse, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at (718) 583-6347.

NPI number for Pethan Tin is 1669428041 and his current mailing address is 120 W 86th St, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669428041.

Contact Information

Pethan Tin, DDS
1940 Grand Concourse,
Bronx, NY 10457-5221
(718) 583-6347
(718) 583-8047

Map and Direction




Healthcare Provider's Profile

Full NamePethan Tin
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1940 Grand Concourse, Bronx, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669428041
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Pethan Tin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669428041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 052227 (New York)Primary

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. Pethan Tin 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
Pethan Tin, DDS
120 W 86th St,
New York, NY 10024-4021

Ph: (917) 714-7593
Pethan Tin, DDS
1940 Grand Concourse,
Bronx, NY 10457-5221

Ph: (718) 583-6347

Reviews and Comments


Dentist in Bronx, NY

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