Orthodontics of Georgetown, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHODONTICS OF GEORGETOWN, LLC

Doing business as

Georgetown Orthodontics

Practice address

73 Redding Rd
Georgetown, CT 06829

Phone

(203) 544-9338

Fax

(203) 544-9339

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Efstathios Giannoutsos, DDS

Title

Owner

Phone

(203) 544-9338

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Orthodontics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1386463594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 REDDING RD",
            "city": "GEORGETOWN",
            "state": "CT",
            "postal_code": "06829",
            "telephone_number": "203-544-9338",
            "fax_number": "203-544-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 REDDING RD",
            "city": "GEORGETOWN",
            "state": "CT",
            "postal_code": "06829",
            "telephone_number": "203-544-9338",
            "fax_number": "203-544-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTICS OF GEORGETOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "GIANNOUTSOS",
        "authorized_official_first_name": "EFSTATHIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-544-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L. Cieri, D.M.D.
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• Joanna Hils, MS, LPC-A
• Pinhann Daniel Liu, R.PH.
• Redding Pharmacy Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Georgetown, CT
• Providers in Georgetown, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.