Charles H. Shanks, D.D.S., P.C.
NPI 1104193366ActiveOrganization· Preferred Provider Organization· Maryville, TN
Preferred Provider Organization in Maryville, Tennessee, registered in NPPES in November 2011. The authorized official on file is Charles Hartwell Shanks, ORAL SURGEON, Owner.
Overview
| NPI | 1104193366 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2011 |
| Last updated in NPPES | Feb 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | DS7825 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in Maryville
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