Jonathan Tankersley, DDS
Individual provider Active NPI General Practice Dentistry · Hanscom Afb, MA
NPI 1194255166 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1194255166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 32977 (TX)
- Practice address
- 90 Vandenberg Dr
Hanscom Afb, MA 01731-2104 - Phone
- (781) 225-6324
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32977 | TX | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32977 | TX | Yes |
Addresses
Primary practice location
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Mailing address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Phone (781) 225-6324
Other providers in Hanscom Afb, MA
- Amber Schildwachter
- Edith Luz Skelly
- St. Elizabeth'S Healthcare at Hanscom Air Base
- Steward St Elizabeths Medical Center of Boston Inc
- Stela Sheila Striligas
- Lucille Paulette Taylor
- Daniel Tesch
- Aletha Juah Thomas
- Debrah L White
- Jordyn Marie Williams
All providers in Hanscom Afb, MA · General Practice Dentistry in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.