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DANA E NELSON WITHERSPOON DDS NPI 1205167962


NPI Information

NPI: 1205167962
Provider Name: DANA E NELSON WITHERSPOON, DDS
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

PECOS Registration: Yes

Address:
2000 RIVERSIDE PARKWAY, SUITE 200
GREAT EXPRESSIONS DENTAL CENTERS OF GEORGIA, PC
LAWRENCEVILLE, GA
ZIP 30043
Phone: (202) 487-5044
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Dana E Nelson Witherspoon, DDS is a dental public health dentist in Lawrenceville, GA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. Dana E Nelson Witherspoon, DDS NPI is 1205167962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 RIVERSIDE PARKWAY, SUITE 200
GREAT EXPRESSIONS DENTAL CENTERS OF GEORGIA, PC
LAWRENCEVILLE, GA
ZIP 30043
Phone: (202) 487-5044

The NPI 1205167962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/20/2010 and was last updated on 1/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public Health8670NORTH CAROLINAYes
21223G0001XDentistGeneral Practice8670NORTH CAROLINANo
31223G0001XDentistGeneral PracticeDN013754GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15916374MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.