Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Anne Antonelli, DMD

Individual provider Periodontics · NPI 1093892390

Dr. Lisa Anne Antonelli, DMD is a Periodontics in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

330 Plantation St
Worcester, MA 01604
Phone: (508) 753-1911
Fax: (508) 753-1837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 16204 (MA)

Record details

NPI number1093892390
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

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