Charles H. Shanks, D.d.s., P.c.
NPI #1104193366 in Maryville, Tennessee
Provider Information
- NPI Number
- 1104193366
- Entity Type
- Organization
- Organization Name
- Charles H. Shanks, D.d.s., P.c.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 16, 2011
- Last Updated
- Feb 10, 2012
Practice Location
Authorized Official
- Name
- CHARLES HARTWELL SHANKS, ORAL SURGEON
- Title
- OWNER
- Phone
- (865) 977-8048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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