Individual provider · Type 1 NPI

Charles Hartwell Shanks, DDS

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1558359695 Active

Practice location

1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Call (865) 977-8048 Map

Fax (865) 977-0318

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS7825 (TN)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS7825 (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.

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About NPI 1558359695

Charles Hartwell Shanks, DDS's National Provider Identifier is 1558359695, issued on Oct 12, 2005. 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.