Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fahad Siddiqui

Individual provider Pediatric Dentistry · NPI 1104307651

Dr. Fahad Siddiqui is a Pediatric Dentistry in Detroit, Michigan. Works from 2 locations. Licensed in Michigan and Texas.

Licensed in
MI, TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2700 Martin Luther King Jr Blvd
Detroit, MI 48208-2576
Phone: (313) 494-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901600262 (MI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 38097 (TX)

Record details

NPI number1104307651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022

Other providers in Detroit