| Shanks Dentistry | |
|
904 W Broadway Ave Maryville TN 37801-4637 | |
| (865) 233-7640 | |
| (865) 233-7660 |
| Full Name | Shanks Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 904 W Broadway Ave, Maryville, Tennessee |
| Authorized Official Name and Position | Tommy Spears (OWNER) |
| Authorized Official Contact | 8659821700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanks Dentistry 904 West Broadway Ave Maryville TN 37801 Ph: (865) 233-7640 | Shanks Dentistry 904 W Broadway Ave Maryville TN 37801-4637 Ph: (865) 233-7640 |
| NPI Number | 1639682669 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639682669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4735 (Tennessee) | Primary |
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Charles H. Shanks, D.d.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1511 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-8048 Fax: 865-977-0318 | |
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