Wellington Circle Dental PC
Dentist, Prosthodontics in Medford, Massachusetts
1477667079- Practice location
- 616 Fellsway, Second Floor, Medford, MA 02155
- Phone
- 781-306-9644
- Fax
- 781-306-9726
- Last updated
- September 11, 2025
Wellington Circle Dental PC is a healthcare organization based in Medford, MA. Wellington Circle Dental PC practices in Medford, MA. The NPI Number for Wellington Circle Dental PC is 1477667079 and holds a License No. 19475 (MA). The current practice location address for Wellington Circle Dental PC is 616 Fellsway, Second Floor, Medford, MA 02155 and can be reached out via phone at 781-306-9644 and via fax at 781-306-9726.
Provider Profile Details
- NPI Number
- 1477667079
- Provider Name
- Wellington Circle Dental PC
- Provider Entity Type
- Organization
- Address
- 616 Fellsway, Second Floor, Medford, MA 02155
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
- Primary Taxonomy
- Dentist, Prosthodontics · 1223P0700X
- Organization Subpart
- No
- Authorized Official
- Mr. Zaki M Mukdissi, DMD · President Owner · 781-306-9644
- Provider Enumeration Date
- August 19, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 616 Fellsway
Second Floor
Medford, MA 02155 - City
- Medford
- State
- Massachusetts
- Zip
- 02155
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
Provider Business Mailing Address Details
- Address
- 616 Fellsway
Second Floor
Medford, MA 02155 - City
- Medford
- State
- MA
- Zip
- 02155
- Phone Number
- 781-306-9644
- Fax Number
- 781-306-9726
License Information
- License Number (1)
- 19475
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 19255
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X
- License Number (3)
- 21063
- License State (3)
- MA
- Taxonomy (3)
- Dentist, Prosthodontics · 1223P0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wellington Circle Dental PC?
The NPI number of Wellington Circle Dental PC is 1477667079. It was assigned on August 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Wellington Circle Dental PC?
Wellington Circle Dental PC is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in MA under license number 19475.
Where does Wellington Circle Dental PC practice?
The practice location is 616 Fellsway, Second Floor, Medford, MA 02155. The office can be reached at 781-306-9644 (phone) or 781-306-9726 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477667079 directly on the NPPES registry website.