Miss 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.