Provider Demographics
NPI:1508962978
Name:FAROOQUI, JUNAID M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:M
Last Name:FAROOQUI
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 1:590 LODGEPOLE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-6546
Mailing Address - Country:US
Mailing Address - Phone:513-722-2118
Mailing Address - Fax:
Practice Address - Street 1:590 LODGEPOLE DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-6546
Practice Address - Country:US
Practice Address - Phone:513-722-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH222561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice