Siddiqua, Mir Ayesha

Siddiqua, Mir Ayesha is an individual health care provider with primary practice located at 311 Doric Ave , Cranston RI 02910-2903. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is her primary health care specialty. Siddiqua, Mir Ayesha can be contacted via phone (401) 562-8303.

Contact Information

Primary practice address
311 Doric Ave Cranston RI 02910-2903
Phone: (401) 562-8303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 8198 South Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8198 South Carolina

Profile Details

NPI number 1750641833
LBN Legal business name Siddiqua, Mir Ayesha
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Oct 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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