IndividualActive
Charles Shanks, D.D.S.
NPI 1558359695 · Oral and Maxillofacial Surgery (Dentist) · Maryville, TN
Provider details
- NPI number
- 1558359695
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS7825 (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
Registry dates
- Enumerated
- 2005-10-12
- Last updated
- 2013-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.