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CARROLL R. SHANKS, D.D.S., P.C.
NPI 1144507351
Dentist - Oral and Maxillofacial Surgery 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: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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

CARROLL R. SHANKS, D.D.S., P.C. (NPI 1144507351) is a healthcare organization registered as an oral and maxillofacial surgery in Maryville, Tennessee and active in the NPI registry since November 2011. The organization lists Carroll Rudolph Shanks, Owner, as its authorized official.

NPPES Registry Identity

NPI1144507351
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCARROLL R. 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 SubpartYes
Authorized OfficialCarroll Rudolph ShanksOwner · (865) 977-8048
Enumeration DateNovember 16, 2011
Last NPPES UpdateAugust 29, 2012
✔ NPI 1144507351 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 · TN2381
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 TN2381 (TN)
1511 E LAMAR ALEXANDER PKWY, Maryville, TN 37804
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Other Names 1

Doing Business AsCarroll R. Shanks, D.d.s., P.c.

Other Identifiers 1

Medicare UPINT74217TN

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.

CHARLES H. SHANKS, D.D.S., P.C.
Preferred Provider Organization
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804
Blount County (865) 977-8048
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
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 Carroll R. Shanks, D.D.S., P.C.'s NPI number?

The NPI number for Carroll R. Shanks, D.D.S., P.C. is 1144507351. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is Carroll R. Shanks, D.D.S., P.C. located?

Carroll R. 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 Carroll R. 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 Carroll R. Shanks, D.D.S., P.C. was last updated on August 29, 2012. 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.