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

Dr. Peerapol Tevavichulada, DDS

Individual provider Periodontics · NPI 1134904709

Dr. Peerapol Tevavichulada, DDS is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
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.

See every abbreviation used in this directory →

Practice location Address checks out

635 Albany St
Boston, MA 02118-3550
Phone: (617) 358-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL15810 (MA)

Record details

NPI number1134904709
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 28, 2023
Mailing address761 Harrison Ave Apt Hc 214, Boston, MA 02118-2364

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