DR. JONATHAN TANKERSLEY


Address: 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402
Phone: 4067312511

DR. JONATHAN TANKERSLEY (NPI# 1194255166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194255166
Entity Type Individual
Full Name DR. JONATHAN TANKERSLEY
Credential DDS
Practice Address 7300 Perimeter Rd, Malmstrom Afb, Mt 59402
Dental Clinic
Apo
AA 59402
Mailing Address 3227 Wetherby Cove S
Germantown
TN 38139-8050
Practice Telephone 4067312511
Mailing Telephone 2102919832
Enumeration Date 2017-06-13
Last Update Date 2019-12-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
32977 TX Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
340 Boatner Rd Bldg 2751, Eglin Afb, FL 325421391 8508838803

Office Location

Street Address 7300 PERIMETER RD, MALMSTROM AFB, MT 59402
DENTAL CLINIC
City APO
State AA
Zip Code 59402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780061960 Usv Optical Inc Eyewear Supplier (Equipment, not the service) 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 2015-04-27
1396181533 341st Medical Group Military/U.S. Coast Guard Pharmacy 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 2013-05-15
1205098258 Dennis Gordon Vanhook Social Worker 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 2008-07-01
1437205119 Misty Dawn Robertson Dental Hygienist 3700 N Perimeter Road, Malmstrom Afb, MT 59402 2007-01-26
1699738278 Carol F Nelson Nurse Practitioner 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 2006-04-06
1558829408 Tyler C Mcdaniel Psychologist 7300 N Perimeter Rd, Great Falls, MT 59402 2019-03-11
1952541716 Stacey Renee Vierra Physician Assistant 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 2009-03-05
1306094461 Jeremy Gustafson Pharmacist 7300 North Perimeter Road, Malmstrom Afb, MT 59402 2008-09-03
1356329817 Timothy Paul Gacioch Physician Assistant 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 2006-01-05
1104848159 Malmstrom Air Force Base Military Hospital 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 2006-07-25
Find all providers in zip 59402

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154938520 Jacob Steven Blackhurst Dentist Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 2020-09-29
1669088852 Matthew Dejong Dentist Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 2020-09-22
1184236895 Christina Belousov Dentist 14351 Battalion Ave, Apo, AA 76544 2020-08-24
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1659927937 Benjamin Kyunghan Yoon Dentist 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 2019-08-13
1477108967 Shane Clay Hoffner Dentist 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 2019-08-02
1740848449 Samuel Kong Hmong Lo Dentist Carius Dental Clinic, Unit 15652, Apo, AP 96271 2019-05-29
1437712130 Andrea Rose Deese Dentist Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 2019-04-17
1871052837 Ryan Kenny Zarnowski Dentist 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 2019-03-18
1619440922 Joo Park Dentist Cmr 402 Unit 33301, Apo, AE 09180 2019-01-09
Find all providers in APO

Competitor

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City APO
Zip Code 59402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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