Provider Demographics
NPI:1902187792
Name:WEBBER, MEREDITH (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:WEBBER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:BROWNLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1254 FARMINGTON AVE APT B
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1309
Mailing Address - Country:US
Mailing Address - Phone:860-404-5411
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1605
Practice Address - Country:US
Practice Address - Phone:860-679-4049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program