RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC – NPI #1215893243
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC is an oral & maxillofacial surgeon located in CHICOPEE, MA. NPPES has assigned the NPI number 1215893243 to RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC on January 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC below.

NPI Profile for
RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC

NPI Number
1215893243
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERBEND ORAL AND MAXILLOFACIAL SURGERY, PLLC
Primary location
1066 GRANBY RD
CHICOPEE, MA 01020-1539
Phone: (413) 534-4400 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANJU NELLISSERY
PRESIDENT
Phone: (860) 335-0168
Updated
Certification Date
Jan 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.