Lisa Antonelli, DMD
NPI 1093892390 · Periodontics · Worcester, MA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Antonelli, DMD is a Periodontics provider in Worcester, MA (NPI 1093892390).
Provider details
- NPI number
- 1093892390
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 16204 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lisa Antonelli's NPI number?
- Lisa Antonelli's National Provider Identifier (NPI) is 1093892390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Antonelli's specialty?
- Lisa Antonelli is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Lisa Antonelli located?
- Lisa Antonelli's practice location on file with NPPES is 330 Plantation Street, Worcester, MA 01604.
- What is Lisa Antonelli's phone number?
- The practice phone number listed in the NPPES registry for Lisa Antonelli is (508) 753-1911.
- Does Lisa Antonelli accept Medicare?
- Lisa Antonelli is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Antonelli's NPI active?
- Yes — Lisa Antonelli's NPI (1093892390) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.