Dr Kenneth Lee Tankersley, DDS AND MD | |
716 Denbigh Blvd, Newport News, VA 23608-4414 | |
(757) 874-6501 | |
Not Available |
Full Name | Dr Kenneth Lee Tankersley |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 716 Denbigh Blvd, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184607731 | NPI | - | NPPES |
8000590 | Medicaid | VA | |
466101 | Other | VA | ANTHEM |
01464599 | Other | VA | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Virginia) | Primary |
Entity Name | Tdt Oms |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831476886 PECOS PAC ID: 3476710062 Enrollment ID: O20120209000507 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Lee Tankersley, DDS AND MD 109 Thorpes Parish, Williamsburg, VA 23185-5119 Ph: (757) 345-6979 | Dr Kenneth Lee Tankersley, DDS AND MD 716 Denbigh Blvd, Newport News, VA 23608-4414 Ph: (757) 874-6501 |
Mckinley Lenard Price, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Pilot House Dr, Newport News, VA 23606 Phone: 757-873-2888 Fax: 757-873-2444 | |
John Jeffery Denison, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 895 Middle Ground Blvd, Suite 106, Newport News, VA 23606 Phone: 757-873-9000 Fax: 757-257-3997 | |
Marko Venne, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 186 Arthur Way, Newport News, VA 23602 Phone: 757-874-8919 Fax: 757-874-3286 | |
Dr. Matthew Mitchell Clark, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 716 Denbigh Blvd Ste C1, Newport News, VA 23608 Phone: 757-874-6501 | |
Ali Baghalian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Nat Turner Blvd S, Newport News, VA 23606 Phone: 757-240-5711 | |
Dr. Ronald L Tankersley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 716 Denbigh Blvd, Newport News, VA 23608 Phone: 757-874-6501 | |
Dr. Thomas Laws, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Oyster Point Rd, Suite C, Newport News, VA 23602 Phone: 757-249-3803 |