Active NPIIndividual provider

Dr. Khizar K Siddiqui, DMD

Dentist, General Practice in Providence, Rhode Island

NPI Number1205649167
Practice location
5 Benefit St, Providence, RI 02904-2762
Fax
—
Last updated
July 30, 2026

Khizar Khalid Siddiqui is a Dentist, General Practice based in Providence, RI. Khizar Khalid Siddiqui practices in Providence, RI and has the professional credentials of DMD. The NPI Number for Khizar Khalid Siddiqui is 1205649167 and holds a License No. DEN03883 (RI). The current practice location address for Khizar Khalid Siddiqui is 5 Benefit St, Providence, RI 02904-2762 and can be reached out via phone at 401-521-3822.

Provider Profile Details

NPI Number
1205649167
Provider Name
Khizar Khalid Siddiqui
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5 Benefit St, Providence, RI 02904-2762
Phone Number
401-521-3822
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 27, 2025
Last Update Date
July 30, 2026
Certification Date
July 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Benefit St
Providence, RI 02904-2762
Zip
02904-2762
Phone Number
401-521-3822
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
635 Albany St
Boston, MA 02118-3550
City
Boston
State
MA
Zip
02118-3550
Phone Number
617-358-8300

License Information

License Number (1)
DEN03883
License State (1)
RI
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
DN10001547
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Providence, RI

View all Dentist, General Practice providers in Providence →

Frequently Asked Questions

What is the NPI number of Dr. Khizar K Siddiqui, DMD?

The NPI number of Dr. Khizar K Siddiqui, DMD is 1205649167. It was assigned on January 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Khizar K Siddiqui, DMD?

Dr. Khizar K Siddiqui, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN03883.

Where does Dr. Khizar K Siddiqui, DMD practice?

The practice location is 5 Benefit St, Providence, RI 02904-2762. The office can be reached at 401-521-3822 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205649167 directly on the NPPES registry website.

Browse related providers