Professional Dental Image

LBN: Professional Dental Image
Professional Dental Image is an health care organization with primary practice located at 53 Bigelow Ave , Watertown MA 02472-2009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Professional Dental Image can be contacted via phone (248) 824-4916, or through Zakkoom, Mustafa via phone (248) 824-4916.

Contact Information

Primary practice address
53 Bigelow Ave Watertown MA 02472-2009
Phone: (248) 824-4916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zakkoom, Mustafa Doctor of Dental Surgery (DDS)
Phone: (248) 824-4916

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DN1856872 Massachusetts

Profile Details

NPI number 1881105484
LBN Legal business name Professional Dental Image
DBA Doing business as
Authorized official Zakkoom, Mustafa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2017
Last updated Oct 23rd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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