MEDICARE: DR. FURQAAN HASAN SIDDIQUI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	14090	NC
2	122300000X	Dentist	1002688-15	WI

General Provider Information

NPI Number	:	1306410261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FURQAAN HASAN SIDDIQUI DDS

Provider Business Mailing Address
First Line	:	3651 GREEN LEVEL WEST RD
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-7605
Country	:	US
Telephone Number	:	919-377-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 GREEN LEVEL WEST RD
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-7605
Country	:	US
Telephone Number	:	919-377-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2021
Last Update Date	:	11/12/2025

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