OrganizationActive
Professional Dental Image
NPI 1881105484 · Dental Clinic/Center · Watertown, MA
Professional Dental Image is a Dental Clinic/Center organization in Watertown, MA (NPI 1881105484).
Provider details
- NPI number
- 1881105484
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mustafa Zakkoom, Dentist(248) 824-4916
- License
- DN1856872 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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 02472-2009
Phone: (248) 824-4916
Street-level locationGet directions
Mailing address
770 Boylston St Apt 15h
Boston, MA 02199-7713
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2017-10-23
Frequently asked questions
- What is Professional Dental Image's NPI number?
- Professional Dental Image's National Provider Identifier (NPI) is 1881105484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Image?
- Professional Dental Image is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Professional Dental Image located?
- Professional Dental Image's practice location on file with NPPES is 53 Bigelow Ave, Watertown, MA 02472-2009.
- What is Professional Dental Image's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Image is (248) 824-4916.
- Who is the authorized official for Professional Dental Image?
- The authorized official listed on Professional Dental Image's NPPES record is Mustafa Zakkoom, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Image's NPI active?
- Yes — Professional Dental Image's NPI (1881105484) is active in the NPPES registry as of the last update on 2017-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.