JOHN GEORGE POULOS DDS
NPI 1871007773
Dentist - Prosthodontics in Northport, NY

Q: What is John Poulos's NPI number?

The NPI number for John Poulos is 1871007773. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Q: What is John Poulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for John Poulos was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 30, 2017

22 LAUREL AVE, NORTHPORT, NY 11768(631) 262-0644(631) 262-0645 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John George Poulos Dds NPPES

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

JOHN GEORGE POULOS DDS (NPI 1871007773) is an individual prosthodontics provider in Northport, New York, licensed in New York (31347) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1871007773

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameJOHN GEORGE POULOSCredential: DDS

Location Address22 LAUREL AVENorthport, NY 11768-3165

Mailing Address22 Laurel AveNorthport, NY 11768-3165 · (631) 262-0644 · Fax (631) 262-0645

Phone(631) 262-0644

Fax(631) 262-0645

Sole ProprietorYes

Enumeration DateNovember 30, 2017

✔ NPI 1871007773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in NY · 31347

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

22 LAUREL AVE, Northport, NY 11768

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Other Providers at the Same Location NPPES

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

JOHN G POULOS DDS

Dentist (Prosthodontics)

22 LAUREL AVE
NORTHPORT, NY 11768

Suffolk County (631) 262-0644

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 John Poulos's NPI number?

The NPI number for John Poulos is 1871007773. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is John Poulos located?

John Poulos practices at 22 Laurel Ave, Northport, NY 11768. The listed phone number is (631) 262-0644.

What is John Poulos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for John Poulos was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.