Individual provider · Type 1 NPI

Jerry Deane Tankersley, DMD

Dentist · Clarksdale, MS

NPI number 1710111034 Active

Practice location

800 Ohio Ave
Clarksdale, MS 38614-7200

Fax (662) 627-3629

Mailing address

510 Highway 322
Clarksdale, MS 38614-4717

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2300-86 (MS)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1710111034

Jerry Deane Tankersley, DMD's National Provider Identifier is 1710111034, issued on May 14, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Clarksdale, MS. The record was last updated on Jun 30, 2009.