Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689350241 Individual Practitioner Male Practitioner

Dr. Mohammed Fawwad Siddiqui , DDS

Dentist - General Practice • Portland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mohammed Siddiqui, DDS is a registered healthcare professional specializing in Dentist - General Practice in Portland, TX. Practice services are available at 1265 US-181 FRONTAGE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1265 Us-181 Frontage

Portland, TX 78374

Telephone 3617770700
Associated Practice Facility / Clinic
🏢 I&a Dental Pllc Facility NPI 1336797638

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Portland, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 39554

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Sumeet Malhotra , DMD

Dentist - General Practice

NPI 1174834105

Doctor of Dental Medicine

Dr. Thomas Adams , DDS

Dentist - General Practice

NPI 1316559842

Doctor of Dental Surgery

NPI 1508469610

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2023

Registered at 1265 US-181 FRONTAGE, PORTLAND, TX 78374 (Tel: 3617770700)

📍
Updated Business Mailing Address July 07, 2023

Registered at 1265 US-181 FRONTAGE, PORTLAND, TX 78374 (Tel: 3617770700)

👤
Provider Name / Credentials Updated July 07, 2023

Recorded as MOHAMMED SIDDIQUI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Dentist (License #39554 in TX)

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689350241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: July 07, 2023
Sole Proprietor: Yes

Mailing Address

1265 Us-181 Frontage

Portland, TX 78374

Phone: 3617770700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.