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

Fatima Naurose Siraj, DMD

Individual provider General Practice Dentistry · NPI 1942683115

Fatima Naurose Siraj, DMD is a General Practice Dentistry in Roanoke, Texas. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

860 E Highway 114 Ideal Dental Ste 200
Roanoke, TX 76262
Phone: (817) 491-3000
Fax: (214) 291-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019030215 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019030215 (IL)

Record details

NPI number1942683115
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESDecember 19, 2018

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