Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pethan Tin, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1669428041

Pethan Tin, DDS is an Oral and Maxillofacial Surgery (Dentist) in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1940 Grand Concourse
Bronx, NY 10457-5221
Phone: (718) 583-6347
Fax: (718) 583-8047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 052227 (NY)

Record details

NPI number1669428041
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJuly 13, 2026
Mailing address120 W 86th St, New York, NY 10024-4021

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