Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Dental Image

Organization Dental Clinic/Center · NPI 1881105484

Professional Dental Image is a Dental Clinic/Center in Watertown, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017

Practice location Address checks out

53 Bigelow Ave
Watertown, MA 02472-2009
Phone: (248) 824-4916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence DN1856872 (MA)

Record details

NPI number1881105484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mustafa Zakkoom — Dentist · (248) 824-4916
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 23, 2017
Mailing address770 Boylston St Apt 15h, Boston, MA 02199-7713

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