# RONALD TANKERSLEY DDS NUMA RAY LEE DDS JEFFREY N KENNEY DDS W LES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295930097
- **Authorized official:** DR. RONALD L TANKERLSEY DDS (PARTNER)
- **Authorized official phone:** (757) 595-8964

## Contact information

- **Practice address:** 716 DENBIGH BLVD, SUITE C1, NEWPORT NEWS, VA 23608-4414
- **Practice address phone:** (757) 874-6501
- **Practice address fax:** (757) 874-8741
- **Mailing address:** 732 THIMBLE SHOALS BLVD, SUITE 202B, NEWPORT NEWS, VA 23606-4218
- **Mailing address phone:** (757) 595-8961
- **Mailing address fax:** (757) 595-4784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401003791 | VA | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 04/04/2012