DR. MAMNOON AHMED SIDDIQUI (NPI# 1336225713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336225713 |
| Entity Type | Individual |
| Full Name | DR. MAMNOON AHMED SIDDIQUI |
| Credential | D.D.S., M.S. |
| Practice Address |
22190 Garrison St Suite 101 Dearborn MI 48124-2260 |
| Mailing Address |
4652 Timberline Dr Canton MI 48188-2211 |
| Practice Telephone | 3135650880 |
| Practice Fax Number | 3135652305 |
| Mailing Telephone | 7344953120 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901017765 | MI | Dental Providers |
| Street Address |
22190 GARRISON ST SUITE 101 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967268 | Mehran Mirkazemi | Specialist | 22190 Garrison St, S301, Dearborn, MI 48124-2260 | 2006-01-26 |
| 1730629973 | Dashawn Lm Wallace | Counselor | 22190 Garrison St, Dearborn, MI 48124-2260 | 2017-03-07 |
| 1770906158 | Nneka J. Owens LLC | Counselor | 22190 Garrison St, Ste 204, Dearborn, MI 48124-2260 | 2014-01-21 |
| 1104194901 | Thea C Lewis Dc LLC | Chiropractor | 22190 Garrison St, 202, Dearborn, MI 48124-2260 | 2011-12-07 |
| 1568629665 | Gregory Czarnecki | Dentist | 22190 Garrison St, 302, Dearborn, MI 48124-2260 | 2008-05-18 |
| 1245412170 | Mehran Mirkazemi, D.o. Pllc | Surgery | 22190 Garrison St, Suite 301, Dearborn, MI 48124-2260 | 2007-12-03 |
| 1427258649 | Leo D Sowle | Chiropractor | 22190 Garrison St, Suite 202, Dearborn, MI 48124-2260 | 2007-07-25 |
| 1255460572 | Edward Gregory Sarkisian | Dentist | 22190 Garrison St, Suite 201, Dearborn, MI 48124-2260 | 2007-03-04 |
| 1033265830 | Nneka Jean Owens | Counselor | 22190 Garrison St, Suite 204, Dearborn, MI 48124-2260 | 2007-01-25 |
| 1649217472 | Scott W. Riga D.d.s. P.C. | Dentist | 22190 Garrison St, Dearborn, MI 48124-2260 | 2006-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470596 | Siddiqui Orthodontics, PC | Dentist | 2211 Monroe St, Dearborn, MI 48124-3007 | 2020-02-26 |
| 1124153762 | Jana Tumpkin Mcqueen D.d.s. PC | Dentist | 23400 Michigan Ave Ste P17, Dearborn, MI 48124-1985 | 2007-02-23 |
| 1437173192 | Kenneth A. Norwick | Dentist | 23851 Ford Rd, Dearborn, MI 48128-1287 | 2006-07-27 |
| 1881643096 | Midwestern Orthodontic Associates | Dentist | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909707 | Craig Mcmullen | Dentist | 44110 W 12 Mile Rd # 100, Novi, MI 48377-2614 | 2020-10-14 |
| 1003425208 | Hsin-chuan Pan | Dentist | 120 N Bridge St Ste C, Linden, MI 48451-8823 | 2020-07-24 |
| 1720697063 | Oakland Orthodontics | Dentist | 2789 Rochester Rd, Troy, MI 48083-1920 | 2020-07-22 |
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1811511538 | Leah Marie Vernacchia | Dentist | 4299 Orchard Lake Rd # 196, West Bloomfield, MI 48323-1681 | 2020-05-29 |
| 1376163345 | Smile Doctors of Michigan PC | Dentist | 13945 Panther Dr, Dewitt, MI 48820-8506 | 2020-04-20 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1639738743 | Orthodontics Center of Novi, PC | Dentist | 27250 Wixom Rd Ste B, Novi, MI 48374-1116 | 2019-06-12 |
| 1497218291 | Bradley J. Gauthier, Dds, Ms, PC | Dentist | 441 S Livernois Rd Ste 250, Rochester Hills, MI 48307-2586 | 2019-04-09 |
| 1730643818 | 313 Orthodontics, Pllc | Dentist | 11525 Highland Rd Ste 22, Hartland, MI 48353-2726 | 2019-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.