Pathamas Chantaracherd Mittman, DDS, MS
Dentist (CMS) · Plymouth, MN
At a glance
3475 Plymouth Blvd Ste 200, Plymouth, MN 55447-1539
NPPES record updated Sep 13, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
3475 Plymouth Blvd Ste 200Plymouth, MN 55447-1539
Additional reported practice locations
675 E Nicollet Blvd Ste 255Burnsville, MN 553376768
Phone: 9528926222
Fax: 9528926477 2550 University Ave W Ste 189S
Saint Paul, MN 551142001
Phone: 6513327474
Fax: 6513327475 622 Roosevelt Rd Ste 120
Saint Cloud, MN 563016349
Phone: 9528926222
Fax: 9528926477
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2015
- CMS specialties
- Dentist
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dentist (CMS)
- Taxonomy code
- 1223X2210X
- Enumeration date
- Sep 13, 2022
- Record updated
- Sep 13, 2022
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DDS, MS
Reported taxonomies and licenses
1223X2210X · Primary
License reported: S187 MN
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3475 Plymouth Blvd Ste 200Plymouth, MN 55447-1539
- Phone
- (763) 577-2484
- Fax
- (763) 577-1375
Mailing address
3475 PLYMOUTH BLVD STE 200PLYMOUTH, MN 554471539
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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