IndividualActive
Fatima Siraj, DMD
NPI 1487038329 · Dentist · Tishomingo, OK
Provider details
- NPI number
- 1487038329
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 8147 (OK)
Specialties & taxonomies
Dental Providers
Practice location
610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-3614
Approximate (ZIP-level) locationGet directions
Mailing address
610 E 24th St
Tishomingo, OK 73460-3245
Registry dates
- Enumerated
- 2015-07-09
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.