Dr. Ronald L Tankersley
Oral and Maxillofacial Surgeon
716 Denbigh Blvd
Newport News
, Virginia 23608-4414
Dr. Ronald L Tankersley
Oral and Maxillofacial Surgeon
716 Denbigh Blvd
Newport News
, Virginia 23608-4414
(757) 874-6501
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Ronald L Tankersley
- 1404 Rivers Edge Rd.
- Newport News, VA
- Zip : 23606
- Phone : (757) 874-6501
Second Address
- Dr. Ronald L Tankersley
- 716 Denbigh Blvd
- Newport News, VA
- Zip : 23608-4414
- Phone : (757) 874-6501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 3791 | VA |
National Provider Identifier
| NPI | 1053394585 |
|---|---|
| Provider Name | Dr. Ronald L Tankersley |
| First Address | Newport News, VA 23606 |
| Second Address | Newport News, VA 23608-4414 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 243303 | ANTHEM (01) | VI |
| 583329 | UNITED CONCORDIA (01) | VA |
| T-21588 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.