Individual
ANISH CHERIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
127 GREYROCK PL, STAMFORD, CT 06901-3100
(203) 604-2262
Mailing address
127 GREYROCK PL, STAMFORD, CT 06901-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14673
CT
1223P0221X
Pediatric Dentistry
Primary
14673
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/03/2024
Last updated
07/01/2026
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