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DR. JAIME M POULOS D.D.S.
NPI 1619138229
Dentist - General Practice in Huntington, NY

Active since June 17, 2008
120 NEW YORK AVE STE 2W, HUNTINGTON, NY 11743(631) 673-3755(631) 673-3433 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jaime M Poulos D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAIME M POULOS D.D.S. (NPI 1619138229) is an individual general practice provider in Huntington, New York, licensed in New York (052074) and active in the NPI registry since June 2008. He maintains a secondary practice location in Northport.

NPPES Registry Identity

NPI1619138229
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAIME M POULOSCredential: D.D.S.
Location Address120 NEW YORK AVE STE 2WHuntington, NY 11743-2743
Mailing Address6 Ditmar LnEast Northport, NY 11731-5220 · (516) 729-6799
Phone(631) 673-3755
Fax(631) 673-3433
Sole ProprietorYes
Enumeration DateJune 17, 2008
Last NPPES UpdateApril 9, 20244 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1619138229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 052074✔ Licensed in IL · 019026797
Definition
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.
120 NEW YORK AVE STE 2W, Huntington, NY 11743
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Secondary Practice Location 1

Location 122 Laurel AveNorthport, NY 11768-3165 · Phone (631) 262-0644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAIME M. POULOS, DDS P.C.
Clinic/Center (Dental)
120 NEW YORK AVE STE 2W
HUNTINGTON, NY 11743
Suffolk County (631) 673-3755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaime Poulos's NPI number?

The NPI number for Jaime Poulos is 1619138229. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Jaime Poulos located?

Jaime Poulos practices at 120 New York Ave Ste 2W, Huntington, NY 11743. The listed phone number is (631) 673-3755.

What is Jaime Poulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jaime Poulos accept?

Health plans from UnitedHealthcare list Jaime Poulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaime Poulos was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.