Lisa Anne Antonelli in Worcester - Periodontics
Lisa Anne Antonelli - NPI 1093892390
Lisa Anne Antonelli is a Periodontics in Worcester, Massachusetts. Lisa Anne Antonelli practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lisa Anne Antonelli is 1093892390. The last update date is 2007-07-08.
Lisa Anne Antonelli's current location address is 330 Plantation Street, Worcester, Massachusetts. You can contact this provider via phone number 5087531911 and fax number 5087531837. The mailing address for Lisa Anne Antonelli is 330 Plantation Street, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Anne Antonelli |
|---|---|
| Address | 330 Plantation Street, Worcester, Massachusetts |
| Phone Number | 5087531911 |
| Fax Number | 5087531837 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093892390 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 330 Plantation Street |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 1604 |
| Phone Number | 5087531911 |
| Fax Number | 5087531837 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 16204 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Anne Antonelli by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Anne Antonelli has been assigned the NPI (National Provider Identifier) 1093892390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Lisa Anne Antonelli is physically located?
The Lisa Anne Antonelli is situated at the following address: 330 Plantation Street, Worcester, MA 1604.
What is Lisa Anne Antonelli's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Anne Antonelli is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When was the Lisa Anne Antonelli's 1093892390 issued?
The Lisa Anne Antonelli's 1093892390 was issued on 2006-11-01.
When was the information regarding Lisa Anne Antonelli, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Anne Antonelli, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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