Wellington Circle Dental PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

21063 Issued in MA

Legal business name

WELLINGTON CIRCLE DENTAL PC

Practice address

616 Fellsway
Second Floor
Medford, MA 02155

Phone

(781) 306-9644

Fax

(781) 306-9726

NPI assigned

Aug 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Zaki M Mukdissi, DMD

Title

President Owner

Phone

(781) 306-9644

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477667079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FELLSWAY",
            "address_2": "SECOND FLOOR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-306-9644",
            "fax_number": "781-306-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FELLSWAY",
            "address_2": "SECOND FLOOR",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "781-306-9644",
            "fax_number": "781-306-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON CIRCLE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MUKDISSI",
        "authorized_official_first_name": "ZAKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "781-306-9644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19475",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "19255",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "21063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Webb, MA
• Ahmed Abdalla Altom Wedat Alla
• Eileen Wegener, MD
• Robert S Weinstein, MD
• Steven Weinstein, L.M.H.C.,L.M.F.T.
• Wellington Circle Dental PC
• Kristie-Lee Wendler, COTA/L
• Tracey Weng, OD
• Westbridge Inc
• Josef R. Wexler, PH.D.

• Prosthodontics in Medford, MA
• Providers in Medford, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.