OrganizationActive
Wellington Circle Dental PC
NPI 1477667079 · Prosthodontics · Medford, MA
Wellington Circle Dental PC is a Prosthodontics organization in Medford, MA (NPI 1477667079).
Provider details
- NPI number
- 1477667079
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Zaki Mukdissi, President Owner(781) 306-9644
- License
- 19475 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
616 Fellsway
Second Floor
Medford, MA 02155
Phone: (781) 306-9644
Fax: (781) 306-9726
Street-level locationGet directions
Mailing address
616 Fellsway
Medford, MA 02155
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is Wellington Circle Dental PC's NPI number?
- Wellington Circle Dental PC's National Provider Identifier (NPI) is 1477667079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellington Circle Dental PC?
- Wellington Circle Dental PC is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is Wellington Circle Dental PC located?
- Wellington Circle Dental PC's practice location on file with NPPES is 616 Fellsway, Medford, MA 02155.
- What is Wellington Circle Dental PC's phone number?
- The practice phone number listed in the NPPES registry for Wellington Circle Dental PC is (781) 306-9644.
- Who is the authorized official for Wellington Circle Dental PC?
- The authorized official listed on Wellington Circle Dental PC's NPPES record is Zaki Mukdissi, President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellington Circle Dental PC's NPI active?
- Yes — Wellington Circle Dental PC's NPI (1477667079) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.