Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194255166 Individual Practitioner Male Practitioner

Dr. Jonathan Tankersley , DDS

Dentist - General Practice • Hanscom Afb, MA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Tankersley, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hanscom Afb, MA. Practice services are available at 90 VANDENBERG DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Vandenberg Dr

Hanscom Afb, MA 017312104

Telephone 7812256324
Associated Practice Facility / Clinic
🏢 66th Medsq-Hanscom Facility NPI 1508831553

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hanscom Afb, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Hanscom Afb, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 32977

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Kyung Chung , DMD

Dentist - General Practice

NPI 1053586339

Doctor of Dental Medicine

NPI 1194719476

Doctor of Dental Medicine

Donna Jamrog

Dental Hygienist

NPI 1508260217

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 01, 2025

Registered at 90 VANDENBERG DR, HANSCOM AFB, MA 017312104 (Tel: 7812256324)

📍
Updated Business Mailing Address December 01, 2025

Registered at 90 VANDENBERG DR, HANSCOM AFB, MA 017312104 (Tel: 7812256324)

📍
Updated Practice Location September 17, 2021

Registered at 48TH MEDICAL GROUP RAF LAKENHEATH, UNIT 5115, APO, AE 094615115 (Tel: 3142268010)

📍
Updated Business Mailing Address September 17, 2021

Registered at PSC 41 BOX 5252, APO, AE 094640053

📍
Updated Practice Location December 11, 2019

Registered at 7300 PERIMETER RD, MALMSTROM AFB, MT 59402, DENTAL CLINIC, APO, AA 59402 (Tel: 4067312511)

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2017

Registered at 340 BOATNER RD BLDG 2751, EGLIN AFB, FL 325421391 (Tel: 8508838803)

📍
Updated Business Mailing Address June 13, 2017

Registered at 3227 WETHERBY COVE S, GERMANTOWN, TN 381398050 (Tel: 2102919832)

👤
Provider Name / Credentials Updated June 13, 2017

Recorded as JONATHAN TANKERSLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Dentist (License #32977 in TX)

🟢
Initial NPI Registration & Enumeration June 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194255166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2017
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

90 Vandenberg Dr

Hanscom Afb, MA 017312104

Phone: 7812256324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.