Dr Russell K Tankersley, DDS is a
Dental Assistant based in Dallas, Texas. Dr Russell K Tankersley is licensed to practice in Texas (license number ) and his current practice location is
8305 Walnut Hill Ln, Ste 230, Dallas, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 368-5224.
NPI number for Dr Russell K Tankersley is 1932105087 and his current mailing address is 8305 Walnut Hill Ln, Ste 230, Dallas, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932105087.
Healthcare Provider's Profile
| Full Name | Dr Russell K Tankersley |
|---|
| Gender | Male |
|---|
| Speciality | Dental Assistant |
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| Location | 8305 Walnut Hill Ln, Dallas, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932105087
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Russell K Tankersley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932105087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 15877 (Texas) | Primary |
| 124Q00000X | Dental Hygienist | 427 (Texas) | Primary |
| 124Q00000X | Dental Hygienist | 12440 (Texas) | Primary |
| 126800000X | Dental Assistant | (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell K Tankersley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Russell K Tankersley, DDS
8305 Walnut Hill Ln, Ste 230,
Dallas, TX 75231-4260
Ph: (214) 368-5224 | Dr Russell K Tankersley, DDS
8305 Walnut Hill Ln, Ste 230,
Dallas, TX 75231-4260
Ph: (214) 368-5224 |
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