Magic Molars Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MAGIC MOLARS PEDIATRIC DENTISTRY PLLC

Practice address

13650 FM 1488 Rd Ste 400
Magnolia, TX 77354-7325

Phone

(732) 799-5756

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fahad Siddiqui, DDSNPI 1104307651

Title

Owner

Phone

(732) 799-5756

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fahad Siddiqui

  • Pediatric Dentistry
  • Detroit, MI
  • NPI 1104307651
  NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1306610415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19223 DERBY RUN LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773773034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 FM 1488 RD STE 400",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547325",
            "telephone_number": "732-799-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC MOLARS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-799-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherish Marie Lynch
• Karla V Macias Diaz, D.D.S.
• Tayler Mack
• Cayleigh Macleod, RD
• Lisa Mager, COTA
• Magnolia Counseling and Wellness
• Magnolia Eye Clinic PA (Vision Source Magnolia)
• Magnolia Family Dental and Orthodontics PLLC (Magnolia Family Dental and Orthodontic)
• Magnolia Family Dentistry PLLC (My Dental of Magnolia)
• Magnolia Family Therapy

• Pediatric Dentistry in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.