OrganizationActive
Professional Dental Image Corp
NPI 1669577888 · Dentist · Watertown, MA
Professional Dental Image Corp is a Dentist organization in Watertown, MA (NPI 1669577888).
Provider details
- NPI number
- 1669577888
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Juan Graham, President(617) 924-6422
- License
- 18068 (MA)
Specialties & taxonomies
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
53 Bigelow Ave
Watertown, MA 02472
Phone: (617) 924-6422
Fax: (617) 924-6422
Street-level locationGet directions
Mailing address
53 Bigelow Ave
Watertown, MA 02472
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Professional Dental Image Corp's NPI number?
- Professional Dental Image Corp's National Provider Identifier (NPI) is 1669577888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Image Corp?
- Professional Dental Image Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Professional Dental Image Corp located?
- Professional Dental Image Corp's practice location on file with NPPES is 53 Bigelow Ave, Watertown, MA 02472.
- What is Professional Dental Image Corp's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Image Corp is (617) 924-6422.
- Who is the authorized official for Professional Dental Image Corp?
- The authorized official listed on Professional Dental Image Corp's NPPES record is Juan Graham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Image Corp's NPI active?
- Yes — Professional Dental Image Corp's NPI (1669577888) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.