Wellington Circle Dental Pc

LBN: Wellington Circle Dental Pc
Wellington Circle Dental Pc is an health care organization with primary practice located at 616 Fellsway Second Floor, Medford MA 02155. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / General Practice is the primary health care specialty. Wellington Circle Dental Pc can be contacted via phone (781) 306-9644, or through Mukdissi, Zaki M via phone (781) 306-9644.

Contact Information

Primary practice address
616 Fellsway Second Floor Medford MA 02155
Phone: (781) 306-9644
Fax: (781) 306-9726
Website:
Map and Directions
Authorized official contact:
Name: Mukdissi, Zaki M Doctor of Dental Medicine (DMD)
Phone: (781) 306-9644

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19475 Massachusetts
Dental Providers / Periodontics 1223P0300X 19255 Massachusetts
Dental Providers / Prosthodontics 1223P0700X 21063 Massachusetts

Profile Details

NPI number 1477667079
LBN Legal business name Wellington Circle Dental Pc
DBA Doing business as
Authorized official Mukdissi, Zaki M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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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