IndividualActive
John Widlak, D.M.D.
NPI 1740379635 · General Practice Dentistry · Groton, CT
John Widlak, D.M.D. is a General Practice Dentistry provider in Groton, CT (NPI 1740379635).
Provider details
- NPI number
- 1740379635
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 008204 (CT)
Practice location
163 Ledgewood Rd
Apt 412
Groton, CT 06340-6611
Phone: (505) 491-7009
Street-level locationGet directions
Mailing address
1 Wahoo Drive
Groton, CT 06349-5600
Registry dates
- Enumerated
- 2006-10-11
- 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.