Individual provider · Type 1 NPI

Nicholas Michael Poulos, DDS

Periodontics · Denver, CO

NPI number 1750505814 Active

Practice location

700 N Broadway Ste 1135
Denver, CO 80203-3444

Other practice locations

  • 1459 Laney Walker Blvd, Ad 2809, Augusta, GA 30912-0002 · (706) 721-2441

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XDN013389 (GA)
Periodontics Primary 1223P0300X9795 (CO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1750505814

Nicholas Michael Poulos, DDS's National Provider Identifier is 1750505814, issued on Apr 12, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Denver, CO. The record was last updated on Feb 22, 2023.