Organization
WITHEROW ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SHANE WITHEROW DDS (ORTHODONTIST)
(615) 754-2027
Entity
Organization
Contact information
Practice address
1323 CLEARVIEW DR, MT JULIET, TN 37122-3424
(615) 754-2027
Mailing address
1323 CLEARVIEW DR, MT JULIET, TN 37122-3424
(615) 754-2027
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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