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DR. PEERAPOL TEVAVICHULADA DDS
NPI 1134904709
Dentist - Periodontics in Boston, MA

Active since August 30, 2023
635 ALBANY ST, BOSTON, MA 02118(617) 358-8300 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peerapol Tevavichulada Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PEERAPOL TEVAVICHULADA DDS (NPI 1134904709) is an individual periodontics provider in Boston, Massachusetts, licensed in Massachusetts (DL15810) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1134904709
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PEERAPOL TEVAVICHULADACredential: DDS
Location Address635 ALBANY STBoston, MA 02118-3550
Mailing Address761 Harrison Ave Apt Hc 214Boston, MA 02118-2364 · (617) 446-3345
Phone(617) 358-8300
Sole ProprietorNo
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1134904709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · DL15810
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
635 ALBANY ST, Boston, MA 02118
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETA JANE DANIELSON
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
JACOB FORTENBERRY DMD
Dentist
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (601) 278-0923
MARIA VICTORIA RIZO DIAZ
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
AHMED ELSAYED
Dentist
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
ARBER MULLIQI
Dentist (General Practice)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (917) 569-9594
GRACIE ANNE ABDALLA
Student in an Organized Health Care Education/Training Program
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
DR. TAEGYOON KIM DMD
Dentist (Prosthodontics)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300
YU-TING CHAN
Dentist (Periodontics)
635 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 358-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peerapol Tevavichulada's NPI number?

The NPI number for Peerapol Tevavichulada is 1134904709. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Peerapol Tevavichulada located?

Peerapol Tevavichulada practices at 635 Albany St, Boston, MA 02118. The listed phone number is (617) 358-8300.

What is Peerapol Tevavichulada's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Peerapol Tevavichulada was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.