Provider Demographics
NPI:1588186852
Name:PATHIYIL, NAVIN ABRAHAM (DMD)
Entity type:Individual
Prefix:DR
First Name:NAVIN
Middle Name:ABRAHAM
Last Name:PATHIYIL
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 1:7831 MOONLIGHT CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7560
Mailing Address - Country:US
Mailing Address - Phone:281-857-0894
Mailing Address - Fax:
Practice Address - Street 1:6209 FM 521
Practice Address - Street 2:SUITE B
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583
Practice Address - Country:US
Practice Address - Phone:281-369-5220
Practice Address - Fax:281-369-5240
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-08
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0414031223P0700X
TX363501223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics