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DR. FAHAD SIDDIQUI
NPI 1104307651
Dentist - Pediatric Dentistry in Detroit, MI

Active since August 23, 2018
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6700 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2019, Jul 23, 2019, Aug 23, 2018 (3 updates tracked since 2018).

About Dr. Fahad Siddiqui NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAHAD SIDDIQUI (NPI 1104307651) is an individual pediatric dentistry provider in Detroit, Michigan, licensed in Michigan (2901600262) and active in the NPI registry since August 2018. He maintains a secondary practice location in Spring.

NPPES Registry Identity

NPI1104307651
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. FAHAD SIDDIQUI
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address1025 Academy DrRochester Hills, MI 48307-4607 · (732) 799-5756
Phone(313) 494-6700
Sole ProprietorNo
Enumeration DateAugust 23, 2018
Last NPPES UpdateMarch 22, 20223 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1104307651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MI · 2901600262✔ Licensed in TX · 38097
Definition
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.
2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208
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Secondary Practice Location 1

Location 13550 Rayford Rd Ste 210Spring, TX 77386-4343 · Phone (281) 916-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWATI DINESH CHITRE DDS,MSD
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6814
MINH-PHUONG ISABELLE KIEU
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6629
KARISHMA M CHOKSI B.D.S
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
DR. MIKHAIL ARKHIPOV DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (347) 782-6999
NASER MOHAMMADZADEH REZAEI
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
HANA GADALLA
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6660
DR. LUIZ CARLOS MAGNO FILHO DDS, MSC
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 993-1000
DR. SPENCER SCOTT GILLESPIE DMD
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fahad Siddiqui's NPI number?

The NPI number for Fahad Siddiqui is 1104307651. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Fahad Siddiqui located?

Fahad Siddiqui practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (313) 494-6700.

What is Fahad Siddiqui's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Fahad Siddiqui accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 14 other insurers list Fahad Siddiqui as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fahad Siddiqui was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.