Healthcare Provider Details

I. General information

NPI: 1699600494
Provider Name (Legal Business Name): INSHAL SYED HAQUE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N UNIVERSITY AVE
ANN ARBOR MI
48109-1078
US

IV. Provider business mailing address

1649 N MAPLE RD APT 206
ANN ARBOR MI
48103-2473
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-6933
  • Fax:
Mailing address:
  • Phone: 630-544-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603129
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: