Provider Demographics
NPI:1629704408
Name:CHERIAN, BLESSY ELSA (DDS)
Entity Type:Individual
Prefix:DR
First Name:BLESSY ELSA
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9973 HYACINTH WAY
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-1905
Mailing Address - Country:US
Mailing Address - Phone:713-992-7635
Mailing Address - Fax:
Practice Address - Street 1:5406 AIRLINE DR UNIT F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4949
Practice Address - Country:US
Practice Address - Phone:713-800-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice