Dr. Anju Nellissery, DMD, MD
Dentist, Oral and Maxillofacial Surgery in Chicopee, Massachusetts
1629598123- Practice location
- 1066 Granby RD, Chicopee, MA 01020-1539
- Phone
- 413-534-4400
- Fax
- —
- Last updated
- January 3, 2026
Anju Nellissery is a Dentist, Oral and Maxillofacial Surgery based in Chicopee, MA. Anju Nellissery practices in Chicopee, MA and has the professional credentials of DMD, MD. The NPI Number for Anju Nellissery is 1629598123 and holds a License No. DN1859832 (MA). The current practice location address for Anju Nellissery is 1066 Granby RD, Chicopee, MA 01020-1539 and can be reached out via phone at 413-534-4400.
Provider Profile Details
- NPI Number
- 1629598123
- Provider Name
- Anju Nellissery
- Credential
- DMD, MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1066 Granby RD, Chicopee, MA 01020-1539
- Phone Number
- 413-534-4400
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2017
- Last Update Date
- January 3, 2026
- Certification Date
- January 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1066 Granby RD
Chicopee, MA 01020-1539 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-1539
- Phone Number
- 413-534-4400
Provider Business Mailing Address Details
- Address
- 1066 Granby RD
Chicopee, MA 01020-1539 - City
- Chicopee
- State
- MA
- Zip
- 01020-1539
- Phone Number
- 413-534-4400
License Information
- License Number
- DN1859832
- License State
- MA
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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. Anju Nellissery, DMD, MD?
The NPI number of Dr. Anju Nellissery, DMD, MD is 1629598123. It was assigned on June 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Anju Nellissery, DMD, MD?
Dr. Anju Nellissery, DMD, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number DN1859832.
Where does Dr. Anju Nellissery, DMD, MD practice?
The practice location is 1066 Granby RD, Chicopee, MA 01020-1539. The office can be reached at 413-534-4400 (phone).
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 1629598123 directly on the NPPES registry website.