Mustafa Al Azzawi
Individual provider Active NPI Dentist · Nashua, NH
NPI 1306629290 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1306629290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN5378 (ME)
- Practice address
- 225 Daniel Webster Hwy
Nashua, NH 03060-5536 - Phone
- (603) 769-8448
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05206 | NH | MD | Dentist |
| DL100711 | MA | MD | Periodontist |
| 25736 | FL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Dental PC | Current |
Accepting new patients | |
| Wollaston Dental Care, Inc | Past |
Accepting new patients |
Locations
70 Eastern Ave
Malden, MA 02148
Phone (781) 338-0818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 25736 | FL | |
| Dentist | 122300000X | 05206 | NH | |
| Periodontics | 1223P0300X | DL100711 | MA | |
| Dentist | 122300000X | DEN5378 | ME | Yes |
Addresses
Primary practice location
225 Daniel Webster Hwy
Nashua, NH 03060-5536
Mailing address
70 Eastern Ave
Malden, MA 02148-5014
Phone (781) 338-0818
Other practice location 1
635 Albany St
Boston, MA 02118-3550
Phone (617) 458-8300
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.