IndividualActive
Wichaya Wisitrasameewong, DDS
NPI 1740612332 · Periodontics · Boston, MA
Wichaya Wisitrasameewong, DDS is a Periodontics provider in Boston, MA (NPI 1740612332).
Provider details
- NPI number
- 1740612332
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DL11966 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
188 Longwood Ave
Harvard School of Dental Medicine
Boston, MA 02115-5819
Phone: (617) 432-1452
Fax: (617) 432-1897
Street-level locationGet directions
Mailing address
188 Longwood Ave
Boston, MA 02142
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2013-08-06
Frequently asked questions
- What is Wichaya Wisitrasameewong's NPI number?
- Wichaya Wisitrasameewong's National Provider Identifier (NPI) is 1740612332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wichaya Wisitrasameewong's specialty?
- Wichaya Wisitrasameewong is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Wichaya Wisitrasameewong located?
- Wichaya Wisitrasameewong's practice location on file with NPPES is 188 Longwood Ave, Boston, MA 02115-5819.
- What is Wichaya Wisitrasameewong's phone number?
- The practice phone number listed in the NPPES registry for Wichaya Wisitrasameewong is (617) 432-1452.
- Is Wichaya Wisitrasameewong's NPI active?
- Yes — Wichaya Wisitrasameewong's NPI (1740612332) is active in the NPPES registry as of the last update on 2013-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.