PROFESSIONAL DENTAL IMAGE
NPI 1881105484
Clinic/Center - Dental in Watertown, MA

Active since October 23, 2017
53 BIGELOW AVE, WATERTOWN, MA 02472(248) 824-4916 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Image NPPES

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

PROFESSIONAL DENTAL IMAGE (NPI 1881105484) is a healthcare organization registered as a dental in Watertown, Massachusetts and active in the NPI registry since October 2017. The organization lists Mustafa Zakkoom, Dentist, as its authorized official.

NPPES Registry Identity

NPI1881105484
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL IMAGE
Location Address53 BIGELOW AVEWatertown, MA 02472-2009
Mailing Address770 Boylston St Apt 15hBoston, MA 02199-7713 · (248) 824-4916
Organization SubpartNo
Authorized OfficialMustafa ZakkoomDentist · (248) 824-4916
Enumeration DateOctober 23, 2017
NPI 1881105484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MA · DN1856872
53 BIGELOW AVE, Watertown, MA 02472

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.

Clinic/Center (Dental)
53 BIGELOW AVE
WATERTOWN, MA 02472
Clinic/Center (Dental)
53 BIGELOW AVE
WATERTOWN, MA 02472
Dentist
53 BIGELOW AVE
WATERTOWN, MA 02472
Dentist
53 BIGELOW AVE
WATERTOWN, MA 02472

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's NPI number?

The NPI number for Professional Dental Image is 1881105484. It was assigned to this organization in the NPPES registry on October 23, 2017.

Where is Professional Dental Image located?

Professional Dental Image is located at 53 Bigelow Ave, Watertown, MA 02472. The listed phone number is (248) 824-4916.

What is Professional Dental Image's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Professional Dental Image was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.