Provider Demographics
NPI:1750879185
Name:THOMAS, NESSA PATHIYIL (DDS)
Entity type:Individual
Prefix:DR
First Name:NESSA
Middle Name:PATHIYIL
Last Name:THOMAS
Suffix:
Gender:
Credentials:DDS
Other - Prefix:DR
Other - First Name:NESSA
Other - Middle Name:ABRAHAM
Other - Last Name:PATHIYIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:226 CATULLUS DR
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-0026
Mailing Address - Country:US
Mailing Address - Phone:281-943-9784
Mailing Address - Fax:
Practice Address - Street 1:274 S COLLINS RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4625
Practice Address - Country:US
Practice Address - Phone:281-943-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry