Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Deane Tankersley, DMD

Individual provider Dentist · NPI 1710111034

Jerry Deane Tankersley, DMD is a Dentist in Clarksdale, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

800 Ohio Ave
Clarksdale, MS 38614-7200
Phone: (662) 624-4292
Fax: (662) 627-3629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2300-86 (MS)

Record details

NPI number1710111034
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 14, 2009
Last updated in NPPESJune 30, 2009

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