Provider Demographics
NPI:1881981280
Name:WESTBROOK, PHEBE CLARE (DMD)
Entity type:Individual
Prefix:DR
First Name:PHEBE
Middle Name:CLARE
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MATHES TER
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2349
Mailing Address - Country:US
Mailing Address - Phone:601-870-7848
Mailing Address - Fax:
Practice Address - Street 1:10 MATHES TER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2349
Practice Address - Country:US
Practice Address - Phone:603-868-5129
Practice Address - Fax:603-868-5142
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9156122300000X
MEDEN4276122300000X
NH042001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH04200OtherDENTAL INSURANCE