Charles H. Shanks, D.d.s., P.c. - Medicare Dental Clinic in Maryville, TN

Charles H. Shanks, D.d.s., P.c. is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Maryville, Tennessee. The current practice location for Charles H. Shanks, D.d.s., P.c. is 1511 E Lamar Alexander Pkwy, Maryville, Tennessee. For appointments, you can reach them via phone at (865) 977-8048. The mailing address for Charles H. Shanks, D.d.s., P.c. is 1511 E Lamar Alexander Pkwy, Maryville, Tennessee and phone number is (865) 977-8048.

Charles H. Shanks, D.d.s., P.c. is licensed to practice in Tennessee (license number DS7825). The clinic also participates in the medicare program and its NPI number is 1114272580. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (865) 977-8048.

Contact Information

Charles H. Shanks, D.d.s., P.c.
1511 E Lamar Alexander Pkwy
Maryville
TN 37804-5131
(865) 977-8048
(865) 977-0318

Dental Care Clinic Profile

Full NameCharles H. Shanks, D.d.s., P.c.
SpecialityDentist
Location1511 E Lamar Alexander Pkwy, Maryville, Tennessee
Authorized Official Name and PositionCharles Hartwell Shanks (OWNER/ORAL SURGEON)
Authorized Official Contact8659778048
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles H. Shanks, D.d.s., P.c.
1511 E Lamar Alexander Pkwy
Maryville
TN 37804-5131

Ph: (865) 977-8048
Charles H. Shanks, D.d.s., P.c.
1511 E Lamar Alexander Pkwy
Maryville
TN 37804-5131

Ph: (865) 977-8048

NPI Details:

NPI Number1114272580
Provider Enumeration Date07/20/2012
Last Update Date06/17/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6305099516
Medicare Enrollment IDO20130118000296

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Medical Identifiers

Medical identifiers for Charles H. Shanks, D.d.s., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114272580NPI-NPPES
1114272580OtherTNGROUP NPI
1223S0112XOtherTNORAL SURGERY TAXONOMY NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DS7825 (Tennessee)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DS7825 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Charles H. Shanks, D.d.s., P.c. acts as a billing entity for following providers:
Provider NameCharles H Shanks
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1558359695
PECOS PAC ID: 8224003439
Enrollment ID: I20040831001262

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