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

Mariam Tahir Siddiqui, BDS, MS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1912585126

Mariam Tahir Siddiqui, BDS, MS is a Pain Management in Ann Arbor, Michigan. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
11
Licensed in
MI, MN
In the registry since
2021
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (763) 936-3940
Fax: (734) 936-3923
Show map & directions

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

Additional practice locations (1)

  • 1405 Lilac Lane Drive North, Golden Valley, MN 55422-4536 — (763) 762-6549

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence 2952000810 (MI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence S-167 (MN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2952000810 (MI)
Orofacial Pain Dentistry Taxonomy 1223X2210X · Licence S167 (MN)

Record details

NPI number1912585126
Entity typeIndividual (Type 1)
GenderFemale
Credentials BDS , MS
Sole proprietorYes
NPI enumeratedMarch 30, 2021
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesORAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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