Mustafa Alani, DDS
Individual provider Active NPI General Practice Dentistry · Stow, OH
NPI 1356794093 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1356794093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.24866 (OH)
- Practice address
- 4176 Kent Rd
Stow, OH 44224-4344 - Phone
- (330) 688-0057
- NPI assigned
- Jul 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160830002527 | OH | Order and Referring Only - Dentist |
9931495926 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.24866 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meckler Dental Providers (Stow), Inc. | General Practice | Past |
Accepting new patients |
| John a Hudec DDS Specialty Services Inc | General Practice | Past | Accepting new patients |
| John a Hudec DDS Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.24866 | OH | Yes |
Addresses
Primary practice location
4176 Kent Rd
Stow, OH 44224-4344
Mailing address
4176 Kent Rd
Stow, OH 44224-4344
Phone (614) 887-7096
Other practice location 1
8276 Mayfield Rd
Chesterland, OH 44026-2518
Phone (440) 491-4001
Other providers in Stow, OH
- Aeg Ohio Professional PC
- Angela D Aikens
- Akn Transmed LLC
- Akron General Medical Center
- Akron General Medical Center
- Megan Alderman
- Alexiou Dental, Inc.
- Barbara Alexiou-Manofsky
- Solon Alexiou
- Alfred E. Grzegorek, PH D, Inc.
All providers in Stow, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.