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DR. SUPONTEP TEERAKANOK DDS
NPI 1871134833
Dentist - Periodontics in Boston, MA

Active since October 01, 2019
HENRY GOLDMAN SCHOOL OF DENTAL MEDICINE, 635 ALBANY ST, BOSTON, MA 02118(617) 763-7550 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Supontep Teerakanok Dds NPPES

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

DR. SUPONTEP TEERAKANOK DDS (NPI 1871134833) is an individual periodontics provider in Boston, Massachusetts, licensed in Massachusetts (DL14138) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1871134833
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SUPONTEP TEERAKANOKCredential: DDS
Location AddressHENRY GOLDMAN SCHOOL OF DENTAL MEDICINE, 635 ALBANY STBoston, MA 02118
Mailing Address18 Elba StBrookline, MA 02446-6759 · (617) 763-7550
Phone(617) 763-7550
Sole ProprietorNo
Enumeration DateOctober 1, 2019
✔ NPI 1871134833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · DL14138
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.
HENRY GOLDMAN SCHOOL OF DENTAL MEDICINE, Boston, MA 02118
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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 Supontep Teerakanok's NPI number?

The NPI number for Supontep Teerakanok is 1871134833. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Supontep Teerakanok located?

Supontep Teerakanok practices at Henry Goldman School Of Dental Medicine 635 Albany St, Boston, MA 02118. The listed phone number is (617) 763-7550.

What is Supontep Teerakanok'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 Supontep Teerakanok was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.