Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Supontep Teerakanok, DDS

Individual provider Periodontics · NPI 1871134833

Dr. Supontep Teerakanok, DDS is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Partly verified

Some contact details are missing from the federal record.

Henry Goldman School Of Dental Medicine 635 Albany St
Boston, MA 02118
Phone: (617) 763-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL14138 (MA)

Record details

NPI number1871134833
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019

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