MISS WICHAYA WISITRASAMEEWONG DDS
NPI 1740612332
Dentist - Periodontics in Boston, MA

Active since August 06, 2013
188 LONGWOOD AVE, HARVARD SCHOOL OF DENTAL MEDICINE, BOSTON, MA 02115(617) 432-1452(617) 432-1897 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Wichaya Wisitrasameewong Dds NPPES

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

MISS WICHAYA WISITRASAMEEWONG DDS (NPI 1740612332) is an individual periodontics provider in Boston, Massachusetts, licensed in Massachusetts (DL11966) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1740612332
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMISS WICHAYA WISITRASAMEEWONGCredential: DDS
Location Address188 LONGWOOD AVE, HARVARD SCHOOL OF DENTAL MEDICINEBoston, MA 02115-5819
Mailing Address188 Longwood Ave, Harvard School Of Dental MedicineBoston, MA 02142 · (617) 432-1452 · Fax (617) 432-1897
Fax(617) 432-1897
Sole ProprietorNo
Enumeration DateAugust 6, 2013
NPI 1740612332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MA · DL11966
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.
188 LONGWOOD AVE, Boston, MA 02115

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.

Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist (Prosthodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist (Endodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist (Prosthodontics)
188 LONGWOOD AVE
BOSTON, MA 02115
Dentist (Periodontics)
188 LONGWOOD AVE
BOSTON, MA 02115

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 Wichaya Wisitrasameewong's NPI number?

The NPI number for Wichaya Wisitrasameewong is 1740612332. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Wichaya Wisitrasameewong located?

Wichaya Wisitrasameewong practices at 188 Longwood Ave Harvard School Of Dental Medicine, Boston, MA 02115. The listed phone number is (617) 432-1452.

What is Wichaya Wisitrasameewong'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 Wichaya Wisitrasameewong was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.