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CHARLES H. SHANKS, D.D.S., P.C.
NPI 1104193366
Preferred Provider Organization in Maryville, TN

Active since November 16, 2011
1511 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 977-8048(865) 977-0318 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES H. SHANKS, D.D.S., P.C. (NPI 1104193366) is a healthcare organization registered as a preferred provider organization in Maryville, Tennessee and active in the NPI registry since November 2011. The organization lists Charles Hartwell Shanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1104193366
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCHARLES H. SHANKS, D.D.S., P.C.
Location Address1511 E LAMAR ALEXANDER PKWYMaryville, TN 37804-5131
Mailing Address1511 E Lamar Alexander PkwyMaryville, TN 37804-5131 · (865) 977-8048 · Fax (865) 977-0318
Phone(865) 977-8048
Fax(865) 977-0318
Organization SubpartNo
Authorized OfficialCharles Hartwell ShanksOwner · (865) 977-8048
Enumeration DateNovember 16, 2011
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1104193366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in TN · DS7825
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1511 E LAMAR ALEXANDER PKWY, Maryville, TN 37804
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Other Identifiers 1

Medicare UPINV00974TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES H. SHANKS, D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048
CARROLL R. SHANKS, D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048
CHARLES HARTWELL SHANKS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles H. Shanks, D.D.S., P.C.'s NPI number?

The NPI number for Charles H. Shanks, D.D.S., P.C. is 1104193366. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Charles H. Shanks, D.D.S., P.C. located?

Charles H. Shanks, D.D.S., P.C. is located at 1511 E Lamar Alexander Pkwy, Maryville, TN 37804. The listed phone number is (865) 977-8048.

What is Charles H. Shanks, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Charles H. Shanks, D.D.S., P.C. was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.