Individual provider · Type 1 NPI
John Joseph Widlak Jr., DMD
General Practice Dentistry · Groton, CT
NPI number
1740379635
Active
Practice location
163 Ledgewood Rd, Apt 412
Groton, CT 06340-6611
Mailing address
1 Wahoo Drive, Naval Branch Health Clinic
Groton, CT 06349-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 008204 (CT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Groton
- J Michael TiberiiGeneral Practice Dentistry Groton, CT NPI 1063512853
- Josh Cribbs, DMDGeneral Practice Dentistry Groton, CT NPI 1114301256
- Michael Ray Goins, DDSGeneral Practice Dentistry Groton, CT NPI 1134643760
- Thomas Braun, DDSGeneral Practice Dentistry Groton, CT NPI 1144319245
- Mildred L. GoebelGeneral Practice Dentistry Groton, CT NPI 1144320235
- Theologos Ted Malahias, D.D.SGeneral Practice Dentistry Groton, CT NPI 1225230089
- Sean Hyungbeom KimGeneral Practice Dentistry Groton, CT NPI 1225230998
- Sharon Kuriakose Iype, DDSGeneral Practice Dentistry Groton, CT NPI 1265925721
About NPI 1740379635
John Joseph Widlak Jr., DMD's National Provider Identifier is 1740379635, issued on Oct 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Groton, CT. The record was last updated on Jul 8, 2007.