Provider Demographics
NPI:1306410261
Name:SIDDIQUI, FURQAAN HASAN (DDS)
Entity type:Individual
Prefix:DR
First Name:FURQAAN
Middle Name:HASAN
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 GREEN LEVEL WEST RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-7605
Mailing Address - Country:US
Mailing Address - Phone:919-377-9797
Mailing Address - Fax:
Practice Address - Street 1:3651 GREEN LEVEL WEST RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-7605
Practice Address - Country:US
Practice Address - Phone:919-377-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-16
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14090122300000X
WI1002688-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist