Individual
DR. JONATHAN TANKERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
90 VANDENBERG DR, HANSCOM AFB, MA 01731-2104
(781) 225-6324
Mailing address
90 VANDENBERG DR, HANSCOM AFB, MA 01731-2104
(781) 225-6324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32977
TX
Other
Enumeration date
06/13/2017
Last updated
12/01/2025
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