Provider Demographics
NPI:1639931256
Name:ELSHEWEHY, ABEER (BDS)
Entity type:Individual
Prefix:
First Name:ABEER
Middle Name:
Last Name:ELSHEWEHY
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13619 WAVERLY CREST CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6830
Mailing Address - Country:US
Mailing Address - Phone:646-463-1259
Mailing Address - Fax:
Practice Address - Street 1:1416 W OREM DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2853
Practice Address - Country:US
Practice Address - Phone:646-463-1259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX410801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice