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Mariam Tahir Siddiqui, BDS,MS
Orofacial Pain Dentist in Ann Arbor, Michigan
NPI 1912585126

Mariam Tahir Siddiqui is a Orofacial Pain Dentist based in Plymouth, MI and is specialized in Orofacial Pain. Mariam Tahir Siddiqui practices in Ann Arbor, MI and has the professional credentials of BDS,MS. The NPI Number for Mariam Tahir Siddiqui is 1912585126 and holds a License No. S-167 (Michigan).

The current practice location address for Mariam Tahir Siddiqui is 1500 E Medical Center Dr, Ann Arbor, MI and can be reached out via phone at 763-936-3940 and via fax at 734-936-3923.

Location: 1500 E Medical Center Dr, Ann Arbor, MI, 55447-2531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912585126
Provider Name
Mariam Tahir Siddiqui
Credential
BDS,MS
Provider Entity Type
Individual
Gender
Female
Address
1500 E Medical Center Dr, Ann Arbor, MI, 55447-2531
Phone Number
763-936-3940
Fax Number
734-936-3923
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Medical Center Dr
City
Ann Arbor
State
Michigan
Zip
48109-5000
Phone Number
763-936-3940
Fax Number
734-936-3923
person
Provider Business Mailing Address Details
Address
1500 E Medical Center Dr
City
Ann Arbor
State
Michigan
Zip
48109-5000
Phone Number
763-936-3940
Fax Number
734-936-3923
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2952000810 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
S-167 (Minnesota)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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