Edward Leslie Widronak, DDS

General Practice Dentistry · Peabody, MA

Individual Active NPI

NPI number 1588761605

Practice location

619 Lowell St
Peabody, MA 01960
Phone
(978) 535-3443

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NPI record

NPI
1588761605
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10931 MA

About Dr. Widronak

Edward Leslie Widronak, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 619 Lowell St, Peabody, MA 01960. The NPI number 1588761605 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Dr. Widronak lists a license in the registry: #10931 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward Leslie Widronak, DDS?

The NPI number is 1588761605.

What is the phone number of Dr. Widronak?

The phone number listed for the practice location is (978) 535-3443.

Where is Dr. Widronak located?

619 Lowell St, Peabody, MA 01960.

What is the taxonomy code for Dr. Widronak?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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