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

Dr. Supontep Teerakanok, DDS

Individual provider Periodontics · NPI 1871134833

Dr. Supontep Teerakanok, DDS is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
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.

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Practice location Partly verified

Some contact details are missing from the federal record.

Henry Goldman School Of Dental Medicine 635 Albany St
Boston, MA 02118
Phone: (617) 763-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL14138 (MA)

Record details

NPI number1871134833
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESOctober 1, 2019
Mailing address18 Elba St, Brookline, MA 02446-6759

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