Individual provider · Type 1 NPI

Khizar Khalid Siddiqui, DMD

General Practice Dentistry · Providence, RI

NPI number 1205649167 Active

Practice location

5 Benefit St
Providence, RI 02904-2762

Mailing address

635 Albany St
Boston, MA 02118-3550

Other practice locations

  • 230 Rhode Island Ave, Fall River, MA 02724-3525 · (508) 646-9600

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDEN03883 (RI)
General Practice Dentistry 1223G0001XDN10001547 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1205649167

Khizar Khalid Siddiqui, DMD's National Provider Identifier is 1205649167, issued on Jan 27, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Providence, RI. The record was last updated on Jul 30, 2026.