Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DREW M MITTELMAN DMD
NPI 1265439657
Dentist - General Practice in Dedham, MA

Q: What is Drew Mittelman's NPI number?

The NPI number for Drew Mittelman is 1265439657. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Drew Mittelman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Drew Mittelman was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2005PECOS Enrolled

1 LYONS ST, DEDHAM, MA 02026(781) 329-1400(781) 278-5667 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Drew M Mittelman Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DREW M MITTELMAN DMD (NPI 1265439657) is an individual general practice provider in Dedham, Massachusetts, licensed in Massachusetts (12569) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265439657

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDREW M MITTELMANCredential: DMD

Location Address1 LYONS STDedham, MA 02026-5599

Mailing AddressPo Box 9120Dedham, MA 02027-9120 · (781) 329-1400 · Fax (781) 278-5667

Phone(781) 329-1400

Fax(781) 278-5667

Sole ProprietorNo

Enumeration DateJune 30, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1265439657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 12569

Definition

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.

1 LYONS ST, Dedham, MA 02026

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Other Identifiers 7

Other12569Delta Dental

OtherX04083Dental Blue

OtherX04083First Seniority

OtherX04083Harvard Pilgrim Ppo

OtherX04083Harvard/pilgrim

OtherX04083Harvard Pilgrim Pos

Other0016778Neighborhood Health Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Drew M Mittelman Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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