Individual
DR. MATTHEW WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 N JEFFERSON AVE, COOKEVILLE, TN 38501-3334
(931) 526-3381
Mailing address
22 N JEFFERSON AVE, COOKEVILLE, TN 38501-3334
(931) 526-3381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10043
KY
1223G0001X
General Practice Dentistry
Primary
10684
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
07/08/2017
Last updated
05/08/2018
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