Individual provider · Type 1 NPI

Jaimie Vassiliou

Orthodontics and Dentofacial Orthopedics Dentistry · Bristol, CT

NPI number 1881083137 Active

Practice location

733 Terryville Ave
Bristol, CT 06010-4034

Mailing address

410 Emmett St Unit 7
Bristol, CT 06010-8601

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS040234 (PA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X011467 (CT)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1881083137

Jaimie Vassiliou's National Provider Identifier is 1881083137, issued on Jan 9, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bristol, CT. The record was last updated on Nov 2, 2015.