Individual provider · Type 1 NPI

Thitaya Chaiboonyarak

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1003784810 Active

Practice location

100 E Newton St
Boston, MA 02118-3552

Call (617) 358-8300 Map

Mailing address

405 Beacon St Apt 8
Boston, MA 02115-1134

Other practice locations

  • 7000 Great Meadow Rd, Dedham, MA 02026-4090 · (781) 234-9700
  • 1200 Centre St, Roslindale, MA 02131-1000 · (617) 363-8000

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDL101029 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XDL101029 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003784810

Thitaya Chaiboonyarak's National Provider Identifier is 1003784810, issued on Oct 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Oct 24, 2025.