Provider Demographics
NPI:1568755536
Name:WESTBROOK, JONAS KILMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONAS
Middle Name:KILMER
Last Name:WESTBROOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825
Mailing Address - Country:US
Mailing Address - Phone:603-664-2722
Mailing Address - Fax:603-664-5461
Practice Address - Street 1:5 COMMERCE WAY
Practice Address - Street 2:APPLEWOOD FAMILY DENTISTRY
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825
Practice Address - Country:US
Practice Address - Phone:603-604-2722
Practice Address - Fax:603-664-5461
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH041971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEDEN4180OtherMAINE BOARD OF DENTAL EXAMINERS LICENSE