# TDT OMS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hampton Roads Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831476886
- **Authorized official:** RONALD L TANKERSLEY DDS (PARTNER)
- **Authorized official phone:** (757) 874-6501

## Contact information

- **Practice address:** 716 DENBIGH BLVD, SUITE C1, NEWPORT NEWS, VA 23608-4414
- **Practice address phone:** (757) 874-6501
- **Mailing address:** 716 DENBIGH BLVD, SUITE C1, NEWPORT NEWS, VA 23608-4414
- **Mailing address phone:** (757) 874-6501

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2011
- **Last updated:** 04/04/2012