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PROFESSIONAL DENTAL IMAGE CORP
NPI 1669577888
Dentist in Watertown, MA

Active since September 13, 2006
53 BIGELOW AVE, WATERTOWN, MA 02472(617) 924-6422(617) 924-6422 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Image Corp NPPES

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

PROFESSIONAL DENTAL IMAGE CORP (NPI 1669577888) is a healthcare organization registered as a dentist in Watertown, Massachusetts and active in the NPI registry since September 2006. The organization lists Juan Jose Graham, President, as its authorized official.

NPPES Registry Identity

NPI1669577888
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePROFESSIONAL DENTAL IMAGE CORP
Location Address53 BIGELOW AVEWatertown, MA 02472
Mailing Address53 Bigelow AveWatertown, MA 02472 · (617) 924-6422 · Fax (617) 924-6422
Phone(617) 924-6422
Fax(617) 924-6422
Organization SubpartNo
Authorized OfficialJuan Jose GrahamPresident · (617) 924-6422
Enumeration DateSeptember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669577888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 18068
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
53 BIGELOW AVE, Watertown, MA 02472
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Other Identifiers 1

Medicaid9786139MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

YAYA DENTAL PLLC
Clinic/Center (Dental)
53 BIGELOW AVE
WATERTOWN, MA 02472
Middlesex County (617) 924-6422
IM & HU DENTISTRY
Clinic/Center (Dental)
53 BIGELOW AVE
WATERTOWN, MA 02472
Middlesex County (617) 924-6422
MR. JUAN JOSE GRAHAM DMD
Dentist
53 BIGELOW AVE
WATERTOWN, MA 02472
Middlesex County (617) 924-6422
PROFESSIONAL DENTAL IMAGE
Clinic/Center (Dental)
53 BIGELOW AVE
WATERTOWN, MA 02472
Middlesex County (248) 824-4916

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 Professional Dental Image Corp's NPI number?

The NPI number for Professional Dental Image Corp is 1669577888. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Professional Dental Image Corp located?

Professional Dental Image Corp is located at 53 Bigelow Ave, Watertown, MA 02472. The listed phone number is (617) 924-6422.

What is Professional Dental Image Corp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Professional Dental Image Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.