Organization · Type 2 NPI
Charles H. Shanks, D.d.s., P.c.
Oral and Maxillofacial Surgery (Dentist) · Maryville, TN
NPI number
1114272580
Active
Practice location
1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Fax (865) 977-0318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS7825 (TN) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DS7825 (TN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Maryville
- Carroll R. Shanks, D.d.s., P.c.Oral and Maxillofacial Surgery (Dentist) Maryville, TN NPI 1144507351
- East Tennessee Oral & Maxillofacial Surgery, PCOral and Maxillofacial Surgery (Dentist) Maryville, TN NPI 1174624498
- Southeast Oral Surgery PCOral and Maxillofacial Surgery (Dentist) Maryville, TN NPI 1184733446
- Tennessee Valley Oral Surgery. PLLCOral and Maxillofacial Surgery (Dentist) Maryville, TN NPI 1861013195
About NPI 1114272580
Charles H. Shanks, D.d.s., P.c.'s National Provider Identifier is 1114272580, issued on Jul 20, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maryville, TN. The record was last updated on Jun 17, 2013.