Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miss. Wichaya Wisitrasameewong, DDS

Individual provider Periodontics · NPI 1740612332

Miss. Wichaya Wisitrasameewong, DDS practises Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
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 Address checks out

188 Longwood Ave Harvard School Of Dental Medicine
Boston, MA 02115-5819 Not confirmed with CMS for 13 years — call before visiting
Phone: (617) 432-1452
Fax: (617) 432-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL11966 (MA)

Record details

NPI number1740612332
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013

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