MIR AYESHA SIDDIQUA DDS NPI 1750641833

NPI Information

NPI: 1750641833
Provider Name: MIR AYESHA SIDDIQUA, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
311 DORIC AVE
CRANSTON, RI
ZIP 02910
Phone: (401) 562-8303
Get Directions

Mir Ayesha Siddiqua, DDS is a general practice dentist in Cranston, RI. The provider is 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. Mir Ayesha Siddiqua, DDS NPI is 1750641833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

311 DORIC AVE
CRANSTON, RI
ZIP 02910-903
Phone: (401) 562-8303

The NPI 1750641833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/22/2012 and was last updated on 10/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	8198	SOUTH CAROLINA	No
3	1223G0001X	Dentist	General Practice	8198	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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