Carroll R. Shanks, D.d.s., P.c.

NPI 1144507351 - Dentist - 122300000X

NPI Details
NPI 1144507351
Enumeration Date 11/16/2011
Last Updated 08/29/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CARROLL RUDOLPH CARROLL
Position OWNER
Phone (865) 977-8048
Fax (865) 977-0318
Practice Location
1511 E LAMAR ALEXANDER PKWY
MARYVILLE TN, 37804-5131, US
Phone (865) 977-8048
Fax (865) 977-0318
Business Location
1511 E LAMAR ALEXANDER PKWY
MARYVILLE TN, 37804-5131, US
Phone (865) 977-8048
Fax (865) 977-0318
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number TN2381
Remove 1144507351 NPI Number
 

According to our database, Carroll R. Shanks, D.d.s., P.c. NPI is 1144507351, taxonomy code is 122300000X and license number is TN2381, license state is located at Tennessee. Carroll R. Shanks, D.d.s., P.c. physically located at 1511 E Lamar Alexander Pkwy, Maryville TN, 37804-5131. NPI Number 1033115704 has the healthcare provider type.

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1144507351 NPI number is provided on an as is basis without warranty of any kind. 1144507351 is maintained by the National Plan & Provider Enumeration System. The contents of Carroll R. Shanks, D.d.s., P.c. are for informational purposes only.