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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES HARTWELL SHANKS, D.D.S.

Active Sole Proprietor

CHARLES HARTWELL SHANKS, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in MARYVILLE, Tennessee. NPI 1558359695 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · MARYVILLE, TN

Registration Details

NPI Number
1558359695
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2005 (20.811365438643 yrs)
Last Updated
Jun 17, 2013
Licenses
DS7825 (TN)
DS7825 (TN)
Sole Proprietor
Yes

Practice Information

Address
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN, 378045131
Browse TN providers · Browse ZIP 37804
Phone
8659778048
Fax
8659770318
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in MARYVILLE, TN

Name Credential NPI
WAYNE R. WITT DDS 1295732402
JAMES HOWARD MANN JR. DDS 1639176399
MARK M. WIDLOSKI DDS 1285631135
DR. TROY RANDALL NAPIER DMD 1689657108
DR. TIMOTHY P MCCONNELL DDS 1821071341
DR. OTTO W SLATER DDS 1427031947
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.