| Azfar Siddiqui Dmd Pllc | |
|
16630 W Greenway Rd Ste 319 Surprise AZ 85388-2189 | |
| (623) 582-9622 | |
| Not Available |
| Full Name | Azfar Siddiqui Dmd Pllc |
|---|---|
| Speciality | Dentist |
| Location | 16630 W Greenway Rd Ste 319, Surprise, Arizona |
| Authorized Official Name and Position | Azfar Siddiqui (OWNER/PROVIDER) |
| Authorized Official Contact | 6235829622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azfar Siddiqui Dmd Pllc 7012 W Firebird Dr Glendale AZ 85308-9424 Ph: (623) 225-8968 | Azfar Siddiqui Dmd Pllc 16630 W Greenway Rd Ste 319 Surprise AZ 85388-2189 Ph: (623) 582-9622 |
| NPI Number | 1881413417 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/10/2024 |
| Medicare PECOS PAC ID | 6406386416 |
|---|---|
| Medicare Enrollment ID | O20250206000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881413417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| Provider Name | Azfar Siddiqui |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306807722 PECOS PAC ID: 4486182979 Enrollment ID: I20250206000337 |
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