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NPI Code Detail

MEDICARE: MUSTAFA ALWAN DDS

MEDICARE:   MUSTAFA  ALWAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11540TN

General Provider Information

NPI Number : 1063086296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSTAFA ALWAN DDS
Provider Business Mailing Address
First Line : 515 JOHNSTOWN DR
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8114
Country : US
Telephone Number : 615-768-1573
Fax Number :
Provider Business Practice Location Address
First Line : 7041 HWY 70 S # 7
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-5238
Country : US
Telephone Number : 615-662-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 03/27/2025

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Directions to “ MUSTAFA ALWAN DDS” Practice Location

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