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

Professional Dental Image Corp

Organization Dentist · NPI 1669577888

Professional Dental Image Corp is a Dentist in Watertown, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

53 Bigelow Ave
Watertown, MA 02472
Phone: (617) 924-6422
Fax: (617) 924-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 18068 (MA)

Record details

NPI number1669577888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Graham — President · (617) 924-6422
NPI enumeratedSeptember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address53 Bigelow Ave, Watertown, MA 02472

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