JERRY DEANE TANKERSLEY

CLARKSDALE, MS
NPI1710111034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  2300-86)
Enumeration Date2009-05-14
Last Update Date2009-06-30
Business Address
-- JERRY DEANE TANKERSLEY D.M.D.
800 OHIO AVE
CLARKSDALE, MS 38614-7200
Phone number: 662-624-4292
Mailing Address
-- JERRY DEANE TANKERSLEY D.M.D.
510 HIGHWAY 322
CLARKSDALE, MS 38614-4717
Phone number: 662-624-2504