Individual provider · Type 1 NPI

Donald Shane Witherow, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Mount Juliet, TN

NPI number 1093769168 Active

Practice location

1323 Clearview Dr
Mount Juliet, TN 37122-3424

Mailing address

2059 Lombardy Ave
Nashville, TN 37215-1362

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X7540 (TN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1093769168

Donald Shane Witherow, DDS, MS's National Provider Identifier is 1093769168, issued on May 21, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mount Juliet, TN. The record was last updated on Jul 8, 2007.