IndividualActive
John Wakim, DMD PC
NPI 1235245671 · Dentist · Groton, CT
Provider details
- NPI number
- 1235245671
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD PC
- Sex
- Male
- Sole proprietor
- No
- License
- 5048 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
743 Long Hill Road
Groton, CT 06340
Phone: (860) 445-9520
Fax: (860) 445-5901
Street-level locationGet directions
Mailing address
33 Brookview Court
Noank, CT 06340
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.