Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carroll R. Shanks, DDS, PC

Organization Dentist · NPI 1144507351

Carroll R. Shanks, DDS, PC is a Dentist in Maryville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1511 E Lamar Alexander Pkwy
Maryville, TN 37804-5131
Phone: (865) 977-8048
Fax: (865) 977-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence TN2381 (TN)
Dentist Taxonomy 122300000X · Licence TN2381 (TN)

Record details

NPI number1144507351
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCarroll R. Shanks, DDS, PC
Authorized official Carroll Shanks — Owner · (865) 977-8048
Other names Carroll R. Shanks, D.D.S., P.C.
NPI enumeratedNovember 16, 2011
Last updated in NPPESAugust 29, 2012
Mailing address1511 E Lamar Alexander Pkwy, Maryville, TN 37804-5131

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