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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

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

NPI # 1104193366
LBN Legal business name CHARLES H. SHANKS, D.D.S., P.C.
Authorized official CHARLES SHANKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2011
Last updated 02/10/2012 - About 14 years ago
Identifiers
TN License # DS7825
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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