Tankersley, Russell K
Tankersley, Russell K is an individual health care provider with primary practice located at 8305 Walnut Hill Ln Ste 230, Dallas TX 75231-4260. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / General Practice is his primary health care specialty. Tankersley, Russell K can be contacted via phone (214) 368-5224.Contact Information
Primary practice address
8305 Walnut Hill Ln Ste 230
Dallas TX 75231-4260
Phone: (214) 368-5224
Fax: (214) 368-1740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 15877 | Texas |
Dental Providers / Dental Hygienist | 124Q00000X | 427 | Texas |
Dental Providers / Dental Hygienist | 124Q00000X | 12440 | Texas |
Dental Providers / Dental Assistant | 126800000X | Texas |
Profile Details
NPI number | 1932105087 |
---|---|
LBN Legal business name | Tankersley, Russell K |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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