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

Organization General Practice Dentistry · NPI 1477667079

Wellington Circle Dental PC is a General Practice Dentistry in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

616 Fellsway Second Fl
Medford, MA 02155
Phone: (781) 306-9644
Fax: (781) 306-9726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 21063 (MA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 19475 (MA)
Periodontics Taxonomy 1223P0300X · Licence 19255 (MA)

Record details

NPI number1477667079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zaki Mukdissi — President Owner · (781) 306-9644
NPI enumeratedAugust 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address616 Fellsway, Second Floor, Medford, MA 02155

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