Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerry Deane Tankersley, D.M.D.

Dentist in Clarksdale, MS · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710111034

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jerry Deane Tankersley

Credential D.M.D.

Sex Male

Practice address 800 Ohio Ave, Clarksdale, MS, 38614

Phone (662) 624-4292

Fax (662) 627-3629

Enumeration date May 14, 2009

Last updated in NPPES Jun 30, 2009

Taxonomy & licenses

122300000X Dentist Dental Providers · License 2300-86 (MS) Primary

DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jerry Tankersley's NPI record?

Cross-check NPI 1710111034 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1710111034 active?

Yes, as of the latest NPPES snapshot, NPI 1710111034 is active (record last updated 2009-06-30).

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-30.