Professional Dental Image Corp
Dentist in Watertown, Massachusetts
1669577888- Practice location
- 53 Bigelow Ave, Watertown, MA 02472
- Phone
- 617-924-6422
- Fax
- 617-924-6422
- Last updated
- August 22, 2020
Professional Dental Image Corp is a healthcare organization based in Watertown, MA. Professional Dental Image Corp practices in Watertown, MA. The NPI Number for Professional Dental Image Corp is 1669577888 and holds a License No. 18068 (MA). The current practice location address for Professional Dental Image Corp is 53 Bigelow Ave, Watertown, MA 02472 and can be reached out via phone at 617-924-6422 and via fax at 617-924-6422.
Provider Profile Details
- NPI Number
- 1669577888
- Provider Name
- Professional Dental Image Corp
- Provider Entity Type
- Organization
- Address
- 53 Bigelow Ave, Watertown, MA 02472
- Phone Number
- 617-924-6422
- Fax Number
- 617-924-6422
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Juan Jose Graham, DMD · President · 617-924-6422
- Provider Enumeration Date
- September 13, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Bigelow Ave
Watertown, MA 02472 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472
- Phone Number
- 617-924-6422
- Fax Number
- 617-924-6422
Provider Business Mailing Address Details
- Address
- 53 Bigelow Ave
Watertown, MA 02472 - City
- Watertown
- State
- MA
- Zip
- 02472
- Phone Number
- 617-924-6422
- Fax Number
- 617-924-6422
License Information
- License Number
- 18068
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Watertown, MA
View all Dentists in Watertown →Frequently Asked Questions
What is the NPI number of Professional Dental Image Corp?
The NPI number of Professional Dental Image Corp is 1669577888. It was assigned on September 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Professional Dental Image Corp?
Professional Dental Image Corp is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 18068.
Where does Professional Dental Image Corp practice?
The practice location is 53 Bigelow Ave, Watertown, MA 02472. The office can be reached at 617-924-6422 (phone) or 617-924-6422 (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 1669577888 directly on the NPPES registry website.