# CHELYAN DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972316115
- **Authorized official:** STEVEN AMOS GHAREEB DDS (OWNER/DOCTOR)
- **Authorized official phone:** (304) 610-9973

## Contact information

- **Practice address:** 15081 MACCORKLE AVNENUE, CABIN CREEK, WV 25083
- **Practice address phone:** (681) 221-7313
- **Mailing address:** 105 B ST, SAINT ALBANS, WV 25177-1806
- **Mailing address phone:** (304) 415-6474
- **Mailing address fax:** (304) 744-8245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025