Organization
SHANKS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY SPEARS DDS (OWNER)
(865) 982-1700
Entity
Organization
Contact information
Practice address
904 W BROADWAY AVE, MARYVILLE, TN 37801-4637
(865) 233-7640
(865) 233-7660
Mailing address
904 WEST BROADWAY AVE, MARYVILLE, TN 37801
(865) 233-7640
(865) 233-7660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4735
TN
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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