John Van Bradley Shanks, DDS is a
Dentist - General Practice based in Pikeville, Tennessee. John Van Bradley Shanks is licensed to practice in Tennessee (license number 9128) and his current practice location is
3086 Main Street, Pikeville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 447-2421.
NPI number for John Van Bradley Shanks is 1881906360 and his current mailing address is 3086 Main Street, Pikeville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881906360.
Healthcare Provider's Profile
| Full Name | John Van Bradley Shanks |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 3086 Main Street, Pikeville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881906360
- Provider Enumeration Date: 07/13/2010
- Last Update Date: 07/13/2010
Medical Identifiers
Medical identifiers for John Van Bradley Shanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881906360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9128 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Van Bradley Shanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Van Bradley Shanks, DDS
3086 Main Street,
Pikeville, TN 37367
Ph: (423) 447-2421 | John Van Bradley Shanks, DDS
3086 Main Street,
Pikeville, TN 37367
Ph: (423) 447-2421 |
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