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

Adisa Ratanasirintrawoot

Individual provider Periodontics · NPI 1619443546

Adisa Ratanasirintrawoot is a Periodontics in South Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2018.

Licensed in
VT
In the registry since
2018

Practice location Address checks out

1775 Williston Rd
South Burlington, VT 05403-6491
Phone: (802) 863-5447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 016.0134058 (VT)

Record details

NPI number1619443546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address77 Pine St Apt 509, Burlington, VT 05401-5945

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