Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093356867 Individual Practitioner Female Practitioner

Divi Mittal

Dentist - General Practice • Peabody, MA

Professional Overview & Biography Verified Profile Summary

Divi Mittal is a registered healthcare professional specializing in Dentist - General Practice in Peabody, MA. Practice services are available at 1 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Main St

Peabody, MA 019605509

Telephone 9782380309
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peabody, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Peabody, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 13018

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 39373

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA DN1858489

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1336801067

Doctor of Dental Medicine

Dr. Kyle Lapage , DMD

Dentist - General Practice

NPI 1386329753

Doctor of Dental Medicine

Roxane Salehi Sadaghiani

Dentist - Prosthodontics

NPI 1679180897
NPI 1710690540

Doctor of Dental Medicine

Dr. Kerith Rankin , DMD

Dentist - General Practice

NPI 1750531661

Doctor of Dental Medicine

Dr. Matteo Giamarco , DMD

Dentist - General Practice

NPI 1801977475

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Dentist (License #39373 in TX)

NPI Profile Active October 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2019

Registered at 1 MAIN ST, PEABODY, MA 019605509 (Tel: 9782380309)

📍
Updated Business Mailing Address October 03, 2019

Registered at 449 CANAL ST APT 902, SOMERVILLE, MA 021454371 (Tel: 6178030443)

👤
Provider Name / Credentials Updated October 03, 2019

Recorded as DIVI MITTAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2019

Dentist (License #DN1858489 in MA)

🟢
Initial NPI Registration & Enumeration October 03, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093356867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2019
Last Update: April 26, 2023
Sole Proprietor: No

Mailing Address

449 Canal St Apt 902

Somerville, MA 021454371

Phone: 6178030443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.