CHARLES H. SHANKS, D.D.S., P.C.
NPI 1114272580
Dentist - Oral and Maxillofacial Surgery in Maryville, TN

Active since July 20, 2012
1511 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804(865) 977-8048(865) 977-0318 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 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 1114272580) is a healthcare organization registered as an oral and maxillofacial surgery in Maryville, Tennessee and active in the NPI registry since July 2012. The organization lists Charles Hartwell Shanks, Owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1114272580
Entity TypeOrganization
Primary Taxonomy1223S0112X
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
Fax(865) 977-0318
Organization SubpartNo
Authorized OfficialCharles Hartwell ShanksOwner/oral Surgeon · (865) 977-8048
Enumeration DateJuly 20, 2012
Last NPPES UpdateJune 17, 2013
NPI 1114272580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · DS7825
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedDentistTaxonomy 122300000X · License DS7825 (TN)
1511 E LAMAR ALEXANDER PKWY, Maryville, TN 37804

Other Identifiers 3

Other1114272580TN · Group Npi
Other1223S0112XTN · Oral Surgery Taxonomy Number
Medicare UPIN3227565TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Preferred Provider Organization
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Dentist (Oral and Maxillofacial Surgery)
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804

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 1114272580. It was assigned to this organization in the NPPES registry on July 20, 2012.

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 Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Charles H. Shanks, D.D.S., P.C. was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.