Active NPIIndividual providerSole proprietor

Dr. Jonathan Tankersley, DDS

Dentist, General Practice in Hanscom Afb, Massachusetts

NPI Number1194255166
Practice location
90 Vandenberg Dr, Hanscom Afb, MA 01731-2104
Fax
—
Last updated
December 1, 2025

Jonathan Tankersley is a Dentist, General Practice based in Hanscom Afb, MA. Jonathan Tankersley practices in Hanscom Afb, MA and has the professional credentials of DDS. The NPI Number for Jonathan Tankersley is 1194255166 and holds a License No. 32977 (TX). The current practice location address for Jonathan Tankersley is 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 and can be reached out via phone at 781-225-6324.

Provider Profile Details

NPI Number
1194255166
Provider Name
Jonathan Tankersley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
90 Vandenberg Dr, Hanscom Afb, MA 01731-2104
Phone Number
781-225-6324
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2017
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Zip
01731-2104
Phone Number
781-225-6324
Hanscom Afb, MA 01731Get directions →

Provider Business Mailing Address Details

Address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
City
Hanscom Afb
State
MA
Zip
01731-2104
Phone Number
781-225-6324

License Information

License Number
32977
License State
TX
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan Tankersley, DDS?

The NPI number of Dr. Jonathan Tankersley, DDS is 1194255166. It was assigned on June 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan Tankersley, DDS?

Dr. Jonathan Tankersley, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 32977.

Where does Dr. Jonathan Tankersley, DDS practice?

The practice location is 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104. The office can be reached at 781-225-6324 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194255166 directly on the NPPES registry website.

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