Individual provider · Type 1 NPI
Pathamas Chantaracherd Mittman, DDS, MS
Orofacial Pain Dentistry · Plymouth, MN
Practice location
3475 Plymouth Blvd Ste 200
Plymouth, MN 55447-1539
Fax (763) 577-1375
Other practice locations
- 622 Roosevelt Rd Ste 120, St. Cloud, MN 56301-6349 · (952) 892-6222
- 675 E Nicollet Blvd Ste 255, Burnsville, MN 55337-6768 · (952) 892-6222
- 2550 University Ave W Ste 189S, St. Paul, MN 55114-2001 · (651) 332-7474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orofacial Pain Dentistry Primary | 1223X2210X | S187 (MN) |
Orofacial Pain Dentistry: 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…
3 other providers at this address
Other orofacial pain dentistry providers in Plymouth
About NPI 1447972922
Pathamas Chantaracherd Mittman, DDS, MS's National Provider Identifier is 1447972922, issued on Sep 13, 2022. The primary taxonomy on file is Orofacial Pain Dentistry (1223X2210X), and the practice location is in Plymouth, MN. The record was last updated on Sep 13, 2022.