Dana E Nelson Witherspoon
Dental Public Health Dentist - General Practice
2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc
Lawrenceville
, Georgia 30043
Dana E Nelson Witherspoon
Dental Public Health Dentist - General Practice
2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc
Lawrenceville
, Georgia 30043
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dana E Nelson Witherspoon
- 2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc
- Lawrenceville, GA
- Zip : 30043
- Phone :
Second Address
- Dana E Nelson Witherspoon
- 2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc
- Lawrenceville, GA
- Zip : 30043
- Phone : (202) 487-5044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 8670 | NC |
| N | 1223G0001X | General Practice | 8670 | NC |
| N | 213EG0000X | General Practice | 8670 | NC |
| N | 1223G0001X | General Practice | DN013754 | GA |
| N | 213EG0000X | General Practice | DN013754 | GA |
National Provider Identifier
| NPI | 1205167962 |
|---|---|
| Provider Name | Dana E Nelson Witherspoon |
| First Address | Lawrenceville, GA 30043 |
| Second Address | Lawrenceville, GA 30043 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2010 |
| Last Update Date | 23/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5916374 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.