Individual
PHILIP WITHERSPOON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3890 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2501
(901) 373-3894
Mailing address
3890 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2501
(901) 373-3894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412853
VA
Other
Enumeration date
01/30/2007
Last updated
07/17/2017
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