Miss Wichaya Wisitrasameewong
DDS | Periodontics
188 Longwood Ave, Harvard School Of Dental Medicine, Boston
Massachusetts, 02115-5819
617-432-1452 617-432-1897
Maps & DirectionsMiss Wichaya Wisitrasameewong is a Boston, Massachusetts based Periodontics who is specialized in
Periodontology. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Miss Wichaya Wisitrasameewong is
DL11966 for Periodontology in Massachusetts. Her current practice location is
188 Longwood Ave, Harvard School Of Dental Medicine, Boston. Patients can reach her at
617-432-1452.
Miss Wichaya Wisitrasameewong is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Miss Wichaya Wisitrasameewong speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Miss Wichaya Wisitrasameewong |
| Specialization: | Periodontics |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 188 Longwood Ave, Harvard School Of Dental Medicine, Boston,
Massachusetts, 02115-5819 |
| Phone: | 617-432-1452 |
| Fax: | 617-432-1897 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1740612332 |
| NPI Enumeration Date: | 06 Aug, 2013 |
| NPI Last Update On: | 06 Aug, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Wichaya Wisitrasameewong are as mentioned below.
| License Number | Specialization | State | Status | |
| DL11966 | Periodontology | Massachusetts | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 188 Longwood Ave, Harvard School Of Dental Medicine
Boston, Massachusetts |
| Zip: | 02142 |
| Phone Number: | 617-432-1452 |
| Fax Number: | 617-432-1897 |
Patients can reach Miss Wichaya Wisitrasameewong at
188 Longwood Ave, Harvard School Of Dental Medicine, Boston, Massachusetts or can
call to book an appointment on 617-432-1452.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.