Professional Dental Image
Clinic/Center, Dental in Watertown, Massachusetts
1881105484- Practice location
- 53 Bigelow Ave, Watertown, MA 02472-2009
- Phone
- 248-824-4916
- Fax
- —
- Last updated
- October 23, 2017
Professional Dental Image is a healthcare organization based in Watertown, MA. Professional Dental Image practices in Watertown, MA. The NPI Number for Professional Dental Image is 1881105484 and holds a License No. DN1856872 (MA). The current practice location address for Professional Dental Image is 53 Bigelow Ave, Watertown, MA 02472-2009 and can be reached out via phone at 248-824-4916.
Provider Profile Details
- NPI Number
- 1881105484
- Provider Name
- Professional Dental Image
- Provider Entity Type
- Organization
- Address
- 53 Bigelow Ave, Watertown, MA 02472-2009
- Phone Number
- 248-824-4916
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Mustafa Zakkoom, DDS · Dentist · 248-824-4916
- Provider Enumeration Date
- October 23, 2017
- Last Update Date
- October 23, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 Bigelow Ave
Watertown, MA 02472-2009 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-2009
- Phone Number
- 248-824-4916
Provider Business Mailing Address Details
- Address
- 770 Boylston St Apt 15H
Boston, MA 02199-7713 - City
- Boston
- State
- MA
- Zip
- 02199-7713
- Phone Number
- 248-824-4916
License Information
- License Number
- DN1856872
- License State
- MA
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near Watertown, MA
View all Clinic/Center, Dental providers in Watertown →Frequently Asked Questions
What is the NPI number of Professional Dental Image?
The NPI number of Professional Dental Image is 1881105484. It was assigned on October 23, 2017 and is currently active in the NPPES registry.
What is the specialty of Professional Dental Image?
Professional Dental Image is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in MA under license number DN1856872.
Where does Professional Dental Image practice?
The practice location is 53 Bigelow Ave, Watertown, MA 02472-2009. The office can be reached at 248-824-4916 (phone).
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 1881105484 directly on the NPPES registry website.