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Individual

DR. RUSSELL K TANKERSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8305 WALNUT HILL LN, STE 230, DALLAS, TX 75231-4260
(214) 368-5224
(214) 368-1740
Mailing address
8305 WALNUT HILL LN, STE 230, DALLAS, TX 75231-4260
(214) 368-5224
(214) 368-1740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15877
TX
124Q00000X
Dental Hygienist
12440
TX
124Q00000X
Dental Hygienist
427
TX
126800000X
Dental Assistant
Primary
TX

Other

Enumeration date
06/23/2005
Last updated
09/11/2025
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