NPI 1215893243
Riverbend Oral and Maxillofacial Surgery, PLLC
Practice location
- Address
- 1066 Granby Rd, Chicopee, MA 01020-1539
- Phone
- (413) 534-4400
Authorised official
- Name
- Anju Nellissery
- Title
- President
- Phone
- (860) 335-0168
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1215893243
- Entity type
- Organization
- NPI issued
- 3 Jan 2026
- Record last updated
- 3 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.