JAIMIE VASSILIOU (NPI# 1881083137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881083137 |
| Entity Type | Individual |
| Full Name | JAIMIE VASSILIOU |
| Practice Address |
733 Terryville Ave Bristol CT 06010-4034 |
| Mailing Address |
410 Emmett St Unit 7 Bristol CT 06010-8601 |
| Practice Telephone | 8605840441 |
| Mailing Telephone | 8603022174 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040234 | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
011467 | CT | Dental Providers |
| Street Address |
733 TERRYVILLE AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376569012 | Ammar Idlibi | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2006-07-14 |
| 1104172881 | Kids Dental Care Anesthesia, LLC | Anesthesiology | 733 Terryville Ave, Bristol, CT 06010-4034 | 2012-07-31 |
| 1760741318 | Eunice Dongyoon Lee | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2012-05-15 |
| 1730487976 | Joseph Ross Guzzardi | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2011-03-12 |
| 1891994802 | Laura P Posada-pacheco | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-07-11 |
| 1619171790 | Kids Dental Care, LLC | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1770703241 | Deborah A Bassham | Dentist | 3 21st St, Bristol, VA 24201-3648 | 2007-04-26 |
| 1588645766 | Kenneth Dale Mclaughlin | Dentist | 512 Alabama St, Bristol, TN 37620-2307 | 2005-11-07 |
| 1033107040 | Micheal Roger Marcotte | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2005-10-12 |
| 1871974014 | Mbraces LLC | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2015-06-12 |
| 1861664369 | Michael R Marcotte | Dentist | 5 Center St, Bristol, CT 06010-4916 | 2008-03-25 |
| 1891994802 | Laura P Posada-pacheco | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-07-11 |
| 1073635843 | Larry Sean Mullins | Dentist | 350 Blountville Hwy, Suite 206, Bristol, TN 37620-0213 | 2007-04-04 |
| 1205907177 | Duane N. Cyr | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2006-11-13 |
| Find all providers in BRISTOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.