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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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