MEDICARE: IQRA SALEEM 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	14637	NC

General Provider Information

NPI Number	:	1679465629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IQRA SALEEM DDS

Provider Business Mailing Address
First Line	:	1105 ISLAND PARK BLVD APT 512
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-4758
Country	:	US
Telephone Number	:	918-938-8388
Fax Number	:

Provider Business Practice Location Address
First Line	:	7251 YOUREE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5104
Country	:	US
Telephone Number	:	318-239-1638
Fax Number	:

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

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	05/28/2026

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Directions to “ IQRA SALEEM DDS” Practice Location

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