Individual provider · Type 1 NPI

Adisa Ratanasirintrawoot

Periodontics · South Burlington, VT

NPI number 1619443546 Active

Practice location

1775 Williston Rd
South Burlington, VT 05403-6491

Call (802) 863-5447 Map

Mailing address

77 Pine St Apt 509
Burlington, VT 05401-5945

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X016.0134058 (VT)

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 1619443546

Adisa Ratanasirintrawoot's National Provider Identifier is 1619443546, issued on Oct 18, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Burlington, VT. The record was last updated on Sep 28, 2021.