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Dr. Mumtaz Ahmed Siddique, DDS
General Practice Dentistry in Elgin, Illinois
NPI 1124120381

Mumtaz Ahmed Siddique is a General Practice Dentistry based in Elgin, IL and is specialized in General Practice. Mumtaz Ahmed Siddique practices in Elgin, IL and has the professional credentials of DDS. The NPI Number for Mumtaz Ahmed Siddique is 1124120381 and holds a License No. 019-022632 (Illinois).

The current practice location address for Mumtaz Ahmed Siddique is 552 N Mclean Blvd, Elgin, IL and can be reached out via phone at 847-931-9744 and via fax at 847-931-7726.

Location: 552 N Mclean Blvd, Elgin, IL, 60123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124120381
Provider Name
Mumtaz Ahmed Siddique
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
552 N Mclean Blvd, Elgin, IL, 60123
Phone Number
847-931-9744
Fax Number
847-931-7726
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003729 05 IL
institution
Provider Business Practice Location Address Details
Address
552 N Mclean Blvd
City
Elgin
State
Illinois
Zip
60123
Phone Number
847-931-9744
Fax Number
847-931-7726
person
Provider Business Mailing Address Details
Address
552 N Mclean Blvd
City
Elgin
State
Illinois
Zip
60123
Phone Number
847-931-9744
Fax Number
847-931-7726
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-022632 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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