Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES H. SHANKS, D.D.S., P.C.
Active OrganizationCHARLES H. SHANKS, D.D.S., P.C. is a Preferred Provider Organization organization located in MARYVILLE, Tennessee. NPI 1104193366 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · MARYVILLE, TN
Registration Details
- NPI Number
- 1104193366
- Provider Type
- Organization
- NPI Issued
- Nov 16, 2011 (14.766620410335 yrs)
- Last Updated
- Feb 10, 2012
- License
-
DS7825 (TN)
Practice Information
- Address
-
1511 E LAMAR ALEXANDER PKWYMARYVILLE, TN, 378045131Browse TN providers · Browse ZIP 37804
- Phone
- 8659778048
- Fax
- 8659770318
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.