IndividualActive
Anju Nellissery, DMD, MD
NPI 1629598123 · Oral and Maxillofacial Surgery (Dentist) · Chicopee, MA
Provider details
- NPI number
- 1629598123
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Female
- Sole proprietor
- No
- License
- DN1859832 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1066 Granby Rd
Chicopee, MA 01020-1539
Phone: (413) 534-4400
Approximate (ZIP-level) locationGet directions
Mailing address
1066 Granby Rd
Chicopee, MA 01020-1539
Registry dates
- Enumerated
- 2017-06-26
- Last updated
- 2026-01-03
- Certified
- 2026-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.