Individual
DR. THOMAS F WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11861 COURSEY BLVD, BATON ROUGE, LA 70816-4404
(225) 292-2273
(225) 292-2272
Mailing address
11861 COURSEY BLVD, BATON ROUGE, LA 70816-4404
(225) 292-2273
(225) 292-2272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3045
LA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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