Individual
DR. DEAN L MITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18947 JOHN J WILLIAMS HWY UNIT 201, REHOBOTH BEACH, DE 19971-4476
(302) 645-4801
(888) 987-4173
Mailing address
1515 SAVANNAH RD, LEWES, DE 19958-1675
(302) 645-3499
(302) 644-4830
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
111705
MO
207N00000X
Dermatology Physician
Primary
C1-0028187
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110426
MO MEDICARE
MO
05
—
142569001
—
AR
05
—
208573014
—
MO
01
—
81287
ARK BLUE SHIELD
AR
Enumeration date
02/05/2007
Last updated
06/10/2025
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