Jerry Deane Tankersley, D.M.D.

NPI #1710111034 in Clarksdale, Mississippi

Provider Information

NPI Number
1710111034
Entity Type
Individual
Name
Jerry Deane Tankersley, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
May 14, 2009
Last Updated
Jun 30, 2009

Practice Location

Address
800 OHIO AVE
ZIP Code
38614-7200
Phone
(662) 624-4292

Specialties & Taxonomy Codes

Specialty
Dentist

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