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DR. JOHN JOSEPH WIDLAK JR. D.M.D.
NPI 1740379635
Dentist - General Practice in Groton, CT

Active since October 11, 2006
163 LEDGEWOOD RD, APT 412, GROTON, CT 06340(505) 491-7009 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Joseph Widlak Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JOSEPH WIDLAK JR. D.M.D. (NPI 1740379635) is an individual general practice provider in Groton, Connecticut, licensed in Connecticut (008204) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1740379635
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN JOSEPH WIDLAK JR.Credential: D.M.D.
Location Address163 LEDGEWOOD RD, APT 412Groton, CT 06340-6611
Mailing Address1 Wahoo Drive, Naval Branch Health ClinicGroton, CT 06349-5600 · (860) 694-2377 · Fax (860) 694-2590
Phone(505) 491-7009
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740379635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 008204
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.
163 LEDGEWOOD RD, Groton, CT 06340
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE OBLINSKY BCBA
Behavior Analyst
163 LEDGEWOOD RD, APT. 412
GROTON, CT 06340
Southeastern Connecticut Planning Region (484) 888-2914
MR. ADAM CLINTON RAY IDC
Military Health Care Provider (Independent Duty Corpsman)
163 LEDGEWOOD RD, APT 405
GROTON, CT 06340
Southeastern Connecticut Planning Region (903) 517-6146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Widlak's NPI number?

The NPI number for John Widlak is 1740379635. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is John Widlak located?

John Widlak practices at 163 Ledgewood Rd Apt 412, Groton, CT 06340. The listed phone number is (505) 491-7009.

What is John Widlak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Widlak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.