Doctor profile · Federal record
Dr. Peerapol Tevavichulada, DDS
Periodontist · Boston, MA
- NPI 1134904709
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
635 Albany St
Boston, MA 021183550
(617) 358-8300 - Mailing address
-
761 Harrison Ave Apt Hc 214
Boston, MA 021182364
Credentials & registration
- NPI registered
- August 2023 — 3 yrs on file
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Massachusetts #DL15810
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134904709. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $15.09 |
By nature of payment
Frequently asked questions
What is Dr. Peerapol Tevavichulada's medical specialty?
Dr. Peerapol Tevavichulada practices Periodontist in Boston, MA.
Where does Dr. Peerapol Tevavichulada practice?
Dr. Peerapol Tevavichulada practices at 635 Albany St, Boston, MA 021183550. Office phone: 6173588300.
What is Dr. Peerapol Tevavichulada's NPI?
Dr. Peerapol Tevavichulada's National Provider Identifier (NPI) is 1134904709, issued by NPPES.