OrganizationActive
Carroll R. Shanks, D.D.S., P.C.
NPI 1144507351 · Oral and Maxillofacial Surgery (Dentist) · Maryville, TN
Provider details
- NPI number
- 1144507351
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Carroll R. Shanks, D.D.S., P.C.
- Organization subpart
- Yes
- Authorized official
- Carroll Shanks, Owner(865) 977-8048
- License
- TN2381 (TN)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Phone: (865) 977-8048
Fax: (865) 977-0318
Approximate (ZIP-level) locationGet directions
Mailing address
1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Other names (DBA / former)
- Doing business as
- Carroll R. Shanks, D.D.S., P.C.
Registry dates
- Enumerated
- 2011-11-16
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.