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ZAKI M MUKDISSI DMD PC
NPI 1720180151
Dentist - General Practice in Medford, MA

Active since September 05, 2006
616 FELLSWAY, SECOND FLOOR, MEDFORD, MA 02155(781) 306-9644(781) 306-9726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zaki M Mukdissi Dmd Pc NPPES

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

ZAKI M MUKDISSI DMD PC (NPI 1720180151) is a healthcare organization registered as a general practice in Medford, Massachusetts and active in the NPI registry since September 2006. The organization lists Zaki M Mukdissi, President, as its authorized official.

NPPES Registry Identity

NPI1720180151
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameZAKI M MUKDISSI DMD 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 · (781) 306-9644
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720180151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 19475
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
616 FELLSWAY, Medford, MA 02155
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Other Identifiers 1

Other0201456MA · Mass Health

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
WELLINGTON CIRCLE DENTAL PC
Dentist (Prosthodontics)
616 FELLSWAY, SECOND FLOOR
MEDFORD, MA 02155
Middlesex County (781) 306-9644
JUNGWOO LEE DMD
Dentist
616 FELLSWAY, 2ND FL
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 Zaki M Mukdissi Dmd PC's NPI number?

The NPI number for Zaki M Mukdissi Dmd PC is 1720180151. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Zaki M Mukdissi Dmd PC located?

Zaki M Mukdissi Dmd PC is located at 616 Fellsway Second Floor, Medford, MA 02155. The listed phone number is (781) 306-9644.

What is Zaki M Mukdissi Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Zaki M Mukdissi Dmd PC 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 6 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.