Dennis Sultan Siddiqi, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN17290 Issued in FL

Practice address

3440 Tamiami TRL Unit 3
Port Charlotte, FL 33952-8134

Phone

(941) 627-8022

Fax

(941) 627-5147

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endodontic Associates LTD

  • Endodontics
  • Port Charlotte, FL
  • NPI 1215131578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1235320292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 TAMIAMI TRL",
            "address_2": "SUITE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528134",
            "telephone_number": "941-627-8022",
            "fax_number": "941-627-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TAMIAMI TRL UNIT 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528134",
            "telephone_number": "941-627-8022",
            "fax_number": "941-627-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 College Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075524",
            "country_code": "US",
            "telephone_number": "239-936-4727",
            "fax_number": "239-936-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "DENNIS",
        "middle_name": "SULTAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN17290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan E Shipley
• Carol Shirkey, C.A.P.
• Shrinathjee LLC
• Shrinathjee LLC
• Vickie Shuffitt, P.T.
• Ariel Flores Sillano, OTR
• Shelby Silvertooth, APRN
• Justino Silvestre, MD
• Katrina Simand
• Raanan Simand, RN

• Endodontics in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.