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

Miss. Wichaya Wisitrasameewong, DDS

Individual provider Periodontics · NPI 1740612332

Miss. Wichaya Wisitrasameewong, DDS is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
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 Address checks out

188 Longwood Ave Harvard School Of Dental Medicine
Boston, MA 02115-5819
Phone: (617) 432-1452
Fax: (617) 432-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL11966 (MA)

Record details

NPI number1740612332
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013

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