Individual provider · Type 1 NPI

Jaime M. Poulos, DDS

General Practice Dentistry · Huntington, NY

NPI number 1619138229 Active

Practice location

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

Call (631) 673-3755 Map

Fax (631) 673-3433

Mailing address

6 Ditmar Ln
East Northport, NY 11731-5220

Other practice locations

  • 22 Laurel Ave, Northport, NY 11768-3165 · (631) 262-0644

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019026797 (IL)
General Practice Dentistry Primary 1223G0001X052074 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1619138229

Jaime M. Poulos, DDS's National Provider Identifier is 1619138229, issued on Jun 17, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Huntington, NY. The record was last updated on Apr 9, 2024.