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

Raza Siddiqui, DMD

Individual provider General Practice Dentistry · NPI 1497391627

Raza Siddiqui, DMD is a General Practice Dentistry in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
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

4527 Forest Park Ave
Saint Louis, MO 63108-2113
Phone: (314) 858-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1124598594 (MO)

Record details

NPI number1497391627
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 22, 2019
Last updated in NPPESNovember 22, 2019
Mailing address4527 Forest Park Ave, Saint Louis, MO 63108-2113

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