| Carroll R. Shanks, D.d.s., P.c. | |
|
1511 E Lamar Alexander Pkwy Maryville TN 37804-5131 | |
| (865) 977-8048 | |
| (865) 977-0318 |
| Full Name | Carroll R. Shanks, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1511 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Carroll Rudolph Shanks (OWNER) |
| Authorized Official Contact | 8659778048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll R. Shanks, D.d.s., P.c. 1511 E Lamar Alexander Pkwy Maryville TN 37804-5131 Ph: (865) 977-8048 | Carroll R. Shanks, D.d.s., P.c. 1511 E Lamar Alexander Pkwy Maryville TN 37804-5131 Ph: (865) 977-8048 |
| NPI Number | 1144507351 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144507351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | TN2381 (Tennessee) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TN2381 (Tennessee) | Primary |
Monica T Ginart Dmd Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2014 W Broadway Ave, Maryville, TN 37801 Phone: 865-724-0505 | |
Maryville Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Montvale Station Rd, Maryville, TN 37803 Phone: 865-984-3800 | |
Prohealth Senior Services Of Virginia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 High St, Maryville, TN 37804 Phone: 844-700-0088 | |
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 | |
Curtiss Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 East Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-984-3211 Fax: 865-984-9858 | |
Emert-moss Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-4642 Fax: 865-983-9925 |