Individual provider · Type 1 NPI

Divi Mittal

General Practice Dentistry · Peabody, MA

NPI number 1093356867 Active

Practice location

1 Main St
Peabody, MA 01960-5509

Call (978) 238-0309 Map

Mailing address

449 Canal St Apt 902
Somerville, MA 02145-4371

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X39373 (TX)
General Practice Dentistry 1223G0001XDN1858489 (MA)
General Practice Dentistry Primary 1223G0001X13018 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1093356867

Divi Mittal's National Provider Identifier is 1093356867, issued on Oct 3, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peabody, MA. The record was last updated on Apr 26, 2023.