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Organization
TDT OMS
Active
Organization
TDT OMS
Active
Other names
Hampton Roads Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L TANKERSLEY DDS (PARTNER)
(757) 874-6501
Entity
Organization
Contact information
Practice address
716 DENBIGH BLVD, SUITE C1, NEWPORT NEWS, VA 23608-4414
(757) 874-6501
Mailing address
716 DENBIGH BLVD, SUITE C1, NEWPORT NEWS, VA 23608-4414
(757) 874-6501
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
04/04/2012
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