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Dr. Anju Nellissery, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in West Springfield, Massachusetts
NPI 1629598123

Anju Nellissery is a Oral and Maxillofacial Surgery (Dentist) based in West Springfield, MA and is specialized in Oral and Maxillofacial Surgery. Anju Nellissery practices in West Springfield, MA and has the professional credentials of DMD,MD. The NPI Number for Anju Nellissery is 1629598123 and holds a License No. (Massachusetts).

The current practice location address for Anju Nellissery is Mcnally Brothers, West Springfield, MA and can be reached out via phone at 413-788-9621.

Location: Mcnally Brothers, West Springfield, MA, 01089-3258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629598123
Provider Name
Anju Nellissery
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Female
Address
Mcnally Brothers, West Springfield, MA, 01089-3258
Phone Number
413-788-9621
Fax Number
Provider Enumeration Date
06/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Mcnally Brothers
City
West Springfield
State
Massachusetts
Zip
01089-3258
Phone Number
413-788-9621
Fax Number
person
Provider Business Mailing Address Details
Address
Mcnally Brothers
City
West Springfield
State
Massachusetts
Zip
01089-3258
Phone Number
413-788-9621
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN1859832 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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