Individual provider · Type 1 NPI
Anu Nellissery, D.M.D
Orthodontics and Dentofacial Orthopedics Dentistry · Windsor, CT
Practice location
62 Bloomfield Ave
Windsor, CT 06095-2808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DS040300 (PA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS040300 (PA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12312 (CT) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1962895706
Anu Nellissery, D.M.D's National Provider Identifier is 1962895706, issued on Mar 17, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Windsor, CT. The record was last updated on Aug 31, 2021.