Carroll R. Shanks, D.D.S., P.C.

LBN: Carroll R. Shanks, D.D.S., P.C.
Carroll R. Shanks, D.D.S., P.C. is an health care organization with primary practice located at 1511 E Lamar Alexander Pkwy , Maryville TN 37804-5131. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Carroll R. Shanks, D.D.S., P.C. can be contacted via phone (865) 977-8048, or through Shanks, Carroll Rudolph via phone (865) 977-8048.

Contact Information

Primary practice address
1511 E Lamar Alexander Pkwy Maryville TN 37804-5131
Phone: (865) 977-8048
Fax: (865) 977-0318
Website:
Map and Directions
Authorized official contact:
Name: Shanks, Carroll Rudolph ORAL SURGEON
Phone: (865) 977-8048

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X TN2381 Tennessee
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X TN2381 Tennessee

Profile Details

NPI number 1144507351
LBN Legal business name Carroll R. Shanks, D.D.S., P.C.
DBA Doing business as Carroll R. Shanks, D.D.S., P.C.
Authorized official Shanks, Carroll Rudolph ORAL SURGEON
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2011
Last updated Aug 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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