Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John P Wiederholt, DMD

Individual provider Dentist · NPI 1336369073

Mr. John P Wiederholt, DMD is a Dentist in Madison, Wisconsin. Licensed in Massachusetts and Wisconsin. Registered with an NPI since 2007.

Licensed in
MA, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3434 E Washington Ave
Madison, WI 53704-4155
Phone: (608) 443-5550
Fax: (608) 443-5554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6263-15 (WI)
Dentist Taxonomy 122300000X · Licence 21644 (MA)
Dentist Taxonomy 122300000X · Licence 6263-015 (WI)

Record details

NPI number1336369073
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESOctober 4, 2011

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