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Dr. John Joseph Widlak JR., DMD
General Practice Dentistry in Groton, Connecticut
NPI 1740379635

John Joseph Widlak JR. is a General Practice Dentistry based in Groton, CT and is specialized in General Practice. John Joseph Widlak JR. practices in Groton, CT and has the professional credentials of DMD. The NPI Number for John Joseph Widlak JR. is 1740379635 and holds a License No. 008204 (Connecticut).

The current practice location address for John Joseph Widlak JR. is 163 Ledgewood Rd, Groton, CT and can be reached out via phone at 505-491-7009.

Location: 163 Ledgewood Rd, Groton, CT, 06349-5600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740379635
Provider Name
John Joseph Widlak JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
163 Ledgewood Rd, Groton, CT, 06349-5600
Phone Number
505-491-7009
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
163 Ledgewood Rd
City
Groton
State
Connecticut
Zip
06340-6611
Phone Number
505-491-7009
Fax Number
person
Provider Business Mailing Address Details
Address
163 Ledgewood Rd
City
Groton
State
Connecticut
Zip
06340-6611
Phone Number
505-491-7009
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
008204 (Connecticut)
Definition
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.
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