Doctor profile · Federal record
Dr. Pethan Tin, DDS
Oral and Maxillofacial Surgery (Dentist) · Bronx, NY
- NPI 1669428041
- 20 yrs on file
- Male
- No sanctions
Practice & contact
- Primary practice
-
1940 Grand Concourse
Bronx, NY 104575221
(718) 583-6347
fax (718) 583-8047 - Mailing address
-
120 W 86Th St
New York, NY 100244021
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223S0112X — NUCC code
- State license (1)
- New York #052227
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669428041. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Voco America INC. | 1 | $36.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,048
Patients
1,011
Total drug cost
$4,666
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Penicillin V Potassium | Generic | 425 | 410 | $2,225 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 227 | 221 | $763 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 164 | 159 | $773 |
| Clindamycin Hcl | Generic | 87 | 84 | $511 |
| Tramadol Hcl | Generic | 56 | 55 | $99 |
| Ibuprofen | Generic | 41 | 41 | $108 |
| Chlorhexidine Gluconate | Generic | 37 | 30 | $157 |
| Amoxicillin | Generic | 11 | 11 | $30 |
Frequently asked questions
What is Dr. Pethan Tin's medical specialty?
Dr. Pethan Tin practices Oral and Maxillofacial Surgery (Dentist) in Bronx, NY.
Where does Dr. Pethan Tin practice?
Dr. Pethan Tin practices at 1940 Grand Concourse, Bronx, NY 104575221. Office phone: 7185836347.
What is Dr. Pethan Tin's NPI?
Dr. Pethan Tin's National Provider Identifier (NPI) is 1669428041, issued by NPPES.