IndividualActiveAccepts Medicare
Hassan Mustafa
NPI 1497575005 · Dentist · Brockton, MA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1497575005
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DL100216 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
63 Main St
Brockton, MA 02301-4042
Phone: (508) 894-3681
Fax: (508) 559-5073
Street-level locationGet directions
Mailing address
4224 Avalon Dr
Acton, MA 01720-3456
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.