Organization · Type 2 NPI

Dr. Jaime M. Poulos, DDS P.c.

Dental Clinic/Center · Huntington, NY

NPI number 1609397108 Active

Practice location

120 New York Ave Ste 2W
Huntington, NY 11743-2743

Fax (631) 673-3343

Mailing address

7 Lawrence Hill Rd Ste 1
Huntington, NY 11743-3143

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1609397108

Dr. Jaime M. Poulos, DDS P.c.'s National Provider Identifier is 1609397108, issued on Jul 5, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Huntington, NY. The record was last updated on Apr 9, 2024.