Pathamas Chantaracherd Mittman, DDS, MS

Individual provider Orofacial Pain Dentistry · NPI 1447972922

Pathamas Chantaracherd Mittman, DDS, MS is a Dentist in Plymouth, Minnesota. Qualified in 2015, 11 years ago. Practices with Minnesota Head and Neck Pain Clinic PA, an 18-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying: 11
Licensed in: MN
In the registry since: 2022

What do these letters mean?

DDS — Doctor of Dental Surgery: A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science: A graduate science degree.

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Practice location Address checks out

3475 Plymouth Blvd Ste 200
Plymouth, MN 55447-1539
Phone: (763) 577-2484
Fax: (763) 577-1375

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

675 E Nicollet Blvd Ste 255, Burnsville, MN 55337-6768 — (952) 892-6222
622 Roosevelt Rd Ste 120, Saint Cloud, MN 56301-6349 — (952) 892-6222
2550 University Ave W Ste 189s, Saint Paul, MN 55114-2001 — (651) 332-7474

Specialties & licences

Orofacial Pain Dentistry (primary)	Taxonomy 1223X2210X · Licence S187 (MN)

Record details

NPI number	1447972922
Entity type	Individual (Type 1)
Gender	Female
Credentials	DDS , MS
Sole proprietor	No
NPI enumerated	September 13, 2022
Last updated in NPPES	September 13, 2022
Certification date	September 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	DENTIST
Medical school	OTHER
Graduated	2015 (11 years in practice)
Group practice	Minnesota Head And Neck Pain Clinic Pa — 18 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount