MEDICARE: DR. MUSTAFA ALANI 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
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	DN22992	FL
2	1223G0001X	General Practice Dentistry	DN22992	FL

General Provider Information

NPI Number	:	1376053595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUSTAFA ALANI DDS

Provider Business Mailing Address
First Line	:	9310 OLD KINGS RD S STE 601
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-6178
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9310 OLD KINGS RD S STE 601
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-6178
Country	:	US
Telephone Number	:	904-442-1944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	03/13/2025

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Directions to “ DR. MUSTAFA ALANI DDS” Practice Location

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