Individual provider · Type 1 NPI

Peerapol Tevavichulada, DDS

Periodontics · Boston, MA

NPI number 1134904709 Active

Practice location

635 Albany St
Boston, MA 02118-3550

Call (617) 358-8300 Map

Mailing address

761 Harrison Ave Apt HC 214
Boston, MA 02118-2364

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDL15810 (MA)

Periodontics: 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.

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About NPI 1134904709

Peerapol Tevavichulada, DDS's National Provider Identifier is 1134904709, issued on Aug 30, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boston, MA. The record was last updated on Aug 30, 2023.