Dr. Lisa A Antonelli, DMD
Dentist, Periodontics in Worcester, Massachusetts
1093892390- Practice location
- 330 Plantation Street, Worcester, MA 01604
- Phone
- 508-753-1911
- Fax
- 508-753-1837
- Last updated
- July 8, 2007
Lisa Anne Antonelli is a Dentist, Periodontics based in Worcester, MA. 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 (MA). The current practice location address for Lisa Anne Antonelli is 330 Plantation Street, Worcester, MA 01604 and can be reached out via phone at 508-753-1911 and via fax at 508-753-1837.
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
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 330 Plantation Street
Worcester, MA 01604 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604
- Phone Number
- 508-753-1911
- Fax Number
- 508-753-1837
Provider Business Mailing Address Details
- Address
- 330 Plantation Street
Worcester, MA 01604 - City
- Worcester
- State
- MA
- Zip
- 01604
- Phone Number
- 508-753-1911
- Fax Number
- 508-753-1837
License Information
- License Number
- 16204
- License State
- MA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Lisa A Antonelli, DMD?
The NPI number of Dr. Lisa A Antonelli, DMD is 1093892390. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Lisa A Antonelli, DMD?
Dr. Lisa A Antonelli, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 16204.
Where does Dr. Lisa A Antonelli, DMD practice?
The practice location is 330 Plantation Street, Worcester, MA 01604. The office can be reached at 508-753-1911 (phone) or 508-753-1837 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093892390 directly on the NPPES registry website.