Active NPIIndividual provider

Dr. Divi Mittal

Dentist, General Practice in Peabody, Massachusetts

NPI Number1093356867
Practice location
1 Main St, Peabody, MA 01960-5509
Fax
—
Last updated
April 26, 2023

Divi Mittal is a Dentist, General Practice based in Peabody, MA. Divi Mittal practices in Peabody, MA. The NPI Number for Divi Mittal is 1093356867 and holds a License No. 39373 (TX). The current practice location address for Divi Mittal is 1 Main St, Peabody, MA 01960-5509 and can be reached out via phone at 978-238-0309.

Provider Profile Details

NPI Number
1093356867
Provider Name
Divi Mittal
Provider Entity Type
Individual
Gender
Female
Address
1 Main St, Peabody, MA 01960-5509
Phone Number
978-238-0309
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2019
Last Update Date
April 26, 2023
Certification Date
April 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Main St
Peabody, MA 01960-5509
Zip
01960-5509
Phone Number
978-238-0309
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
449 Canal St Apt 902
Somerville, MA 02145-4371
City
Somerville
State
MA
Zip
02145-4371
Phone Number
617-803-0443

License Information

License Number (1)
39373
License State (1)
TX
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN1858489
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
13018
License State (3)
CT
Taxonomy (3)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Divi Mittal?

The NPI number of Dr. Divi Mittal is 1093356867. It was assigned on October 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Divi Mittal?

Dr. Divi Mittal is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 39373.

Where does Dr. Divi Mittal practice?

The practice location is 1 Main St, Peabody, MA 01960-5509. The office can be reached at 978-238-0309 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093356867 directly on the NPPES registry website.

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