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WELLINGTON CIRCLE DENTAL PC
NPI 1477667079
Dentist - Prosthodontics in Medford, MA

Active since August 19, 2006
616 FELLSWAY, SECOND FLOOR, MEDFORD, MA 02155(781) 306-9644(781) 306-9726 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Wellington Circle Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLINGTON CIRCLE DENTAL PC (NPI 1477667079) is a healthcare organization registered as a prosthodontics in Medford, Massachusetts and active in the NPI registry since August 2006. The organization lists Zaki M Mukdissi, President Owner, as its authorized official.

NPPES Registry Identity

NPI1477667079
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameWELLINGTON CIRCLE DENTAL PC
Location Address616 FELLSWAY, SECOND FLOORMedford, MA 02155
Mailing Address616 Fellsway, Second FloorMedford, MA 02155 · (781) 306-9644 · Fax (781) 306-9726
Phone(781) 306-9644
Fax(781) 306-9726
Organization SubpartNo
Authorized OfficialZaki M MukdissiPresident Owner · (781) 306-9644
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477667079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in MA · 21063
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 19475 (MA)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 19255 (MA)
616 FELLSWAY, Medford, MA 02155
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIEUN CHA DMD
Dentist
616 FELLSWAY
MEDFORD, MA 02155
Middlesex County (781) 306-9644
DR. PAUL K. KANG D.M.D.
Dentist (General Practice)
616 FELLSWAY, APT 14
MEDFORD, MA 02155
Middlesex County (857) 333-8145
JUNGWOO LEE DMD
Dentist
616 FELLSWAY, 2ND FL
MEDFORD, MA 02155
Middlesex County (781) 306-9644
ZAKI M MUKDISSI DMD PC
Dentist (General Practice)
616 FELLSWAY, SECOND FLOOR
MEDFORD, MA 02155
Middlesex County (781) 306-9644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellington Circle Dental PC's NPI number?

The NPI number for Wellington Circle Dental PC is 1477667079. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Wellington Circle Dental PC located?

Wellington Circle Dental PC is located at 616 Fellsway Second Floor, Medford, MA 02155. The listed phone number is (781) 306-9644.

What is Wellington Circle Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Wellington Circle Dental PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.