PATHAMAS CHANTARACHERD MITTMAN DDS MS NPI 1447972922

NPI Information

  • NPI: 1447972922
  • Provider Name: PATHAMAS CHANTARACHERD MITTMAN, DDS, MS
  • Classification: Dentist - 1223X2210X
  • Specialization: Orofacial Pain
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3475 PLYMOUTH BLVD STE 200
    PLYMOUTH, MN
    ZIP 55447
  • Phone: (763) 577-2484

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NPI Details

Pathamas Chantaracherd Mittman, DDS, MS is an orofacial pain dentist in Plymouth, MN with 11 years of experience. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. Pathamas Chantaracherd Mittman, DDS, MS NPI is 1447972922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3475 PLYMOUTH BLVD STE 200
PLYMOUTH, MN
ZIP 55447-539
Phone: (763) 577-2484
Fax: (763) 577-1375

The NPI 1447972922 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/13/2022 and was last updated on 9/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223X2210XDentistOrofacial PainS187MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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