Individual
DR. DONALD SHANE WITHEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1323 CLEARVIEW DR, MOUNT JULIET, TN 37122-3424
(615) 754-2027
Mailing address
2059 LOMBARDY AVE, NASHVILLE, TN 37215-1362
(615) 347-4849
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7540
TN
Other
Enumeration date
05/21/2006
Last updated
07/08/2007
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