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Dr. Lisa Anne Antonelli, DMD
Periodontist in Worcester, Massachusetts
NPI 1093892390

Lisa Anne Antonelli is a Periodontist based in Worcester, MA and is specialized in Periodontics. Lisa Anne Antonelli practices in Worcester, MA and has the professional credentials of DMD. The NPI Number for Lisa Anne Antonelli is 1093892390 and holds a License No. 16204 (Massachusetts).

The current practice location address for Lisa Anne Antonelli is 330 Plantation Street, Worcester, MA and can be reached out via phone at 508-753-1911 and via fax at 508-753-1837.

Location: 330 Plantation Street, Worcester, MA, 01604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093892390
Provider Name
Lisa Anne Antonelli
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
330 Plantation Street, Worcester, MA, 01604
Phone Number
508-753-1911
Fax Number
508-753-1837
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
330 Plantation Street
City
Worcester
State
Massachusetts
Zip
01604
Phone Number
508-753-1911
Fax Number
508-753-1837
person
Provider Business Mailing Address Details
Address
330 Plantation Street
City
Worcester
State
Massachusetts
Zip
01604
Phone Number
508-753-1911
Fax Number
508-753-1837
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
16204 (Massachusetts)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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