Active NPI
Subuhi Siddiqui, DDS
- Dentist
- Statesboro, GA
National Provider Identifier
1932081072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123924
- Practice address
- 412 Northside Dr E
Statesboro, GA 30458-4802 - Phone
- (912) 225-0777
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN123924 | GA | Primary |
Addresses
Primary practice location
412 Northside Dr E
Statesboro, GA 30458-4802
Mailing address
1881 SS Railroad Bed Rd Apt 903
Statesboro, GA 30461-8614
Phone (213) 263-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123924 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1932081072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 SS RAILROAD BED RD APT 903",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304618614",
"telephone_number": "213-263-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584802",
"telephone_number": "912-225-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "SUBUHI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-21",
"last_updated": "2025-08-12",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.