Provider Demographics
NPI:1518353184
Name:CHAHINE, ELIAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIAS
Middle Name:
Last Name:CHAHINE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E BAILEY BOSWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3566
Mailing Address - Country:US
Mailing Address - Phone:682-285-1900
Mailing Address - Fax:
Practice Address - Street 1:600 E BAILEY BOSWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-3566
Practice Address - Country:US
Practice Address - Phone:682-285-1900
Practice Address - Fax:682-285-1905
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry