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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FAHAD SIDDIQUI

Active

DR. FAHAD SIDDIQUI is a Pediatric Dentistry healthcare provider located in DETROIT, Michigan. NPI 1104307651 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · DETROIT, MI

Registration Details

NPI Number
1104307651
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2018 (7.9451894590998 yrs)
Last Updated
Mar 22, 2022
Licenses
38097 (TX)
2901600262 (MI)

Practice Information

Address
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI, 482082576
Browse MI providers · Browse ZIP 48208
Phone
3134946700
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in DETROIT, MI

Name Credential NPI
MONA RIZK IBRAHIM DDS, MPH, MS 1093846974
DR. DOLRUDEE JUMLONGRAS DDS 1326285768
KIRAN P RANGANATH B.D.S., M.P.H 1912149956
DR. RICHARD IAIN TANN DDS 1669722856
MARIA AL ISMAIL 1063824464
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.