Provider Demographics
NPI:1558300418
Name:WHITCOMB, JUDITH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:WHITCOMB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TRAFALGAR SQ
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1998
Mailing Address - Country:US
Mailing Address - Phone:603-880-3000
Mailing Address - Fax:603-880-7772
Practice Address - Street 1:1 TRAFALGAR SQ
Practice Address - Street 2:SUITE 103
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1998
Practice Address - Country:US
Practice Address - Phone:603-880-3000
Practice Address - Fax:603-880-7772
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH22361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice