Nellissery, Anu
Nellissery, Anu is an individual health care provider with primary practice located at 62 Bloomfield Ave , Windsor CT 06095-2808. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Nellissery, Anu can be contacted via phone (860) 688-6030.Contact Information
Primary practice address
62 Bloomfield Ave
Windsor CT 06095-2808
Phone: (860) 688-6030
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DS040300 | Pennsylvania |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS040300 | Pennsylvania |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12312 | Connecticut |
Profile Details
NPI number | 1962895706 |
---|---|
LBN Legal business name | Nellissery, Anu |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2015 |
Last updated | Aug 31st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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