John Van Bradley Shanks, D.D.S.

NPI #1881906360 in Pikeville, Tennessee

Provider Information

NPI Number: 1881906360
Entity Type: Individual
Name: John Van Bradley Shanks, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 13, 2010
Last Updated: Jul 13, 2010

Practice Location

Address: 3086 MAIN STREET
City: Pikeville
State: Tennessee
ZIP Code: 37367
Phone: (423) 447-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Pikeville Family Dentistry	Dentist - General Practice	Pikeville	AI Deep Dive

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