Organization
RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJU NELLISSERY DMD, MD (PRESIDENT)
(860) 335-0168
Entity
Organization
Contact information
Practice address
1066 GRANBY RD, CHICOPEE, MA 01020-1539
(413) 534-4400
Mailing address
1066 GRANBY RD, CHICOPEE, MA 01020-1539
(413) 534-4400
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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