Nelson Witherspoon, Dana E

Nelson Witherspoon, Dana E is an individual health care provider with primary practice located at 2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc, Lawrenceville GA 30043. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is her primary health care specialty. Nelson Witherspoon, Dana E can be contacted via phone (202) 487-5044.

Contact Information

Primary practice address
2000 Riverside Parkway, Suite 200 Great Expressions Dental Centers Of Georgia, Pc Lawrenceville GA 30043
Phone: (202) 487-5044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013754 Georgia
Dental Providers / General Practice 1223G0001X 8670 North Carolina
Dental Providers / Dental Public Health 1223D0001X 8670 North Carolina

Profile Details

NPI number 1205167962
LBN Legal business name Nelson Witherspoon, Dana E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Jan 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205167962 NPPES
North Carolina MEDICAID 5916374

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