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Dr. Jonathan Tankersley, DDS

Dentist, General Practice in Hanscom Afb, MA. Individual provider (NPI-1).

NPI number1194255166
StatusActive
Last updated in NPPESDec 1, 2025

Details

NPI
1194255166
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Tankersley
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 13, 2017
Certification date
Dec 1, 2025
Last updated
Dec 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice32977TXYes

Practice location

90 Vandenberg Dr
Hanscom Afb, MA 01731-2104

Phone 781-225-6324

Mailing address

90 Vandenberg Dr
Hanscom Afb, MA 01731-2104

Phone 781-225-6324

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