Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DEANE TANKERSLEY, D.M.D.
ActiveJERRY DEANE TANKERSLEY, D.M.D. is a Dentist healthcare provider located in CLARKSDALE, Mississippi. NPI 1710111034 is currently active in the NPPES registry. Verify at CMS.
Dentist · CLARKSDALE, MS
Registration Details
- NPI Number
- 1710111034
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2009 (17.252146135827 yrs)
- Last Updated
- Jun 30, 2009
- License
-
2300-86 (MS)
Practice Information
- Address
-
800 OHIO AVECLARKSDALE, MS, 386147200Browse MS providers · Browse ZIP 38614
- Phone
- 6626244292
- Fax
- 6626273629
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CLARKSDALE, MS
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT EARL LONG SR. | DDS | 1437332160 |
| DR. CHESTER L. LAYNE | D.D.S. | 1952577835 |
| DR. MATTHEW JOE CHOW | D.M.D. | 1215245667 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.