Charles H. Shanks, D.d.s., P.c.

NPI 1104193366 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1104193366
Enumeration Date 11/16/2011
Last Updated 02/10/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CHARLES HARTWELL CHARLES
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 305R00000X
License State Tennessee
License Number DS7825
Remove 1104193366 NPI Number
 

According to our database, Charles H. Shanks, D.d.s., P.c. NPI is 1104193366, taxonomy code is 305R00000X and license number is DS7825, license state is located at Tennessee. Charles H. 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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1104193366 NPI number is provided on an as is basis without warranty of any kind. 1104193366 is maintained by the National Plan & Provider Enumeration System. The contents of Charles H. Shanks, D.d.s., P.c. are for informational purposes only.