Individual provider · Type 1 NPI

Fahad Siddiqui

Pediatric Dentistry · Detroit, MI

NPI number 1104307651 Active

Practice location

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576

Call (313) 494-6700 Map

Mailing address

1025 Academy Dr
Rochester Hills, MI 48307-4607

Other practice locations

  • 3550 Rayford Rd Ste 210, Spring, TX 77386-4343 · (281) 916-5437

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X38097 (TX)
Pediatric Dentistry Primary 1223P0221X2901600262 (MI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

151 other providers at this address

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About NPI 1104307651

Fahad Siddiqui's National Provider Identifier is 1104307651, issued on Aug 23, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Detroit, MI. The record was last updated on Mar 22, 2022.