Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ahmed Abumustafa

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1518752682

Dr. Ahmed Abumustafa is an Orthodontics and Dentofacial Orthopedics Dentistry in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee and Texas.

Licensed in
TN, TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

510 S Jefferson Ave Ste 102
Cookeville, TN 38501-4010
Phone: (931) 854-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 12776 (TN)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 41259 (TX)

Record details

NPI number1518752682
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address2624 Niazuma Ave S Apt F, Birmingham, AL 35205-2557

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