National Provider Identifier Database

CHARLES H SHANKS DDS PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CHARLES H. SHANKS, D.D.S., P.C.
1511 E LAMAR ALEXANDER PKWY
MARYVILLE, TN37804-5131
Phone: 865-977-8048
Fax: 865-977-0318
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CHARLES H. SHANKS, D.D.S., P.C.

NPI Number 1104193366
Legal business name
LBN
CHARLES H. SHANKS, D.D.S., P.C.
Authorized official CHARLES SHANKS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/16/2011
Last updated 02/10/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: DS7825

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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