Zaki M Mukdissi DMD PC
Dentist, General Practice in Medford, Massachusetts
1720180151- Practice location
- 616 Fellsway, Second Floor, Medford, MA 02155
- Phone
- 781-306-9644
- Fax
- 781-306-9726
- Last updated
- August 22, 2020
Zaki M Mukdissi DMD PC is a healthcare organization based in Medford, MA. Zaki M Mukdissi DMD PC practices in Medford, MA. The NPI Number for Zaki M Mukdissi DMD PC is 1720180151 and holds a License No. 19475 (MA). The current practice location address for Zaki M Mukdissi DMD 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
- 1720180151
- Provider Name
- Zaki M Mukdissi DMD 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, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mr. Zaki M Mukdissi, DMD · President · 781-306-9644
- Provider Enumeration Date
- September 5, 2006
- Last Update Date
- August 22, 2020
- 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
- 19475
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · 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 Zaki M Mukdissi DMD PC?
The NPI number of Zaki M Mukdissi DMD PC is 1720180151. It was assigned on September 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Zaki M Mukdissi DMD PC?
Zaki M Mukdissi DMD PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19475.
Where does Zaki M Mukdissi DMD 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 1720180151 directly on the NPPES registry website.