Active NPIIndividual provider

Hassan A Mustafa

Dentist in Brockton, Massachusetts

NPI Number1497575005
Practice location
63 Main St, Brockton, MA 02301-4042
Fax
508-559-5073
Last updated
October 16, 2024

Hassan Abdalla Mustafa is a Dentist based in Brockton, MA. Hassan Abdalla Mustafa practices in Brockton, MA. The NPI Number for Hassan Abdalla Mustafa is 1497575005 and holds a License No. DL100216 (MA). The current practice location address for Hassan Abdalla Mustafa is 63 Main St, Brockton, MA 02301-4042 and can be reached out via phone at 508-894-3681 and via fax at 508-559-5073.

Provider Profile Details

NPI Number
1497575005
Provider Name
Hassan Abdalla Mustafa
Provider Entity Type
Individual
Gender
Male
Address
63 Main St, Brockton, MA 02301-4042
Phone Number
508-894-3681
Fax Number
508-559-5073
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2024
Last Update Date
October 16, 2024
Certification Date
October 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301-4042
Zip
02301-4042
Phone Number
508-894-3681
Fax Number
508-559-5073
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
4224 Avalon Dr
Acton, MA 01720-3456
City
Acton
State
MA
Zip
01720-3456
Phone Number
754-308-9573

License Information

License Number
DL100216
License State
MA
Taxonomy
Dentist · 122300000X · 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 Hassan A Mustafa?

The NPI number of Hassan A Mustafa is 1497575005. It was assigned on October 16, 2024 and is currently active in the NPPES registry.

What is the specialty of Hassan A Mustafa?

Hassan A Mustafa is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL100216.

Where does Hassan A Mustafa practice?

The practice location is 63 Main St, Brockton, MA 02301-4042. The office can be reached at 508-894-3681 (phone) or 508-559-5073 (fax).

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 1497575005 directly on the NPPES registry website.

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