Professional Dental Image Corp is a Dental Clinic in Watertown, Massachusetts. It is located at 53 Bigelow Ave, Watertown, MA and its contact number is 617-924-6422. The authorized person for Professional Dental Image Corp is Juan Jose Graham
who is President of the clinic and their contact number is 617-924-6422. The primary license number for Professional Dental Image Corp is 18068 (Dentist) in Massachusetts.
Professional Dental Image Corp Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Professional Dental Image Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Professional Dental Image Corp |
| Specialization: | Dentistry |
| Clinic Address: | 53 Bigelow Ave, Watertown,
Massachusetts, 02472 |
| Phone: | 617-924-6422 |
| Fax: | 617-924-6422 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Juan Jose Graham |
| Position: | President |
| Contact Number: | 617-924-6422 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Professional Dental Image Corp clinic are as mentioned below.
| NPI Number: | 1669577888 |
| NPI Enumeration Date: | 13 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Dental Image Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 18068 | Massachusetts | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9786139 | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Professional Dental Image Corp
53 Bigelow Ave,
Watertown, Massachusetts |
| Zip: | 02472 |
| Phone Number: | 617-924-6422 |
| Fax Number: | 617-924-6422 |
Patients can reach Professional Dental Image Corp at
53 Bigelow Ave, Watertown, Massachusetts or can
call to book an appointment on 617-924-6422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.