IndividualActive
Anu Nellissery, D.M.D
NPI 1962895706 · Orthodontics and Dentofacial Orthopedics Dentistry · Windsor, CT
Provider details
- NPI number
- 1962895706
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- License
- DS040300 (PA)
Mailing address
62 Bloomfield Ave
Windsor, CT 06095-2808
Registry dates
- Enumerated
- 2015-03-17
- Last updated
- 2021-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.