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JOHN G POULOS DDS
NPI 1932597606
Dentist - Prosthodontics in Northport, NY

Active since January 05, 2015
22 LAUREL AVE, NORTHPORT, NY 11768(631) 262-0644(631) 262-0645 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John G Poulos Dds NPPES

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

JOHN G POULOS DDS (NPI 1932597606) is a healthcare organization registered as a prosthodontics in Northport, New York and active in the NPI registry since January 2015. The organization lists John G Poulos, Owner, as its authorized official.

NPPES Registry Identity

NPI1932597606
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameJOHN G POULOS 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
Organization SubpartNo
Authorized OfficialJohn G PoulosOwner · (631) 262-0644
Enumeration DateJanuary 5, 2015
✔ NPI 1932597606 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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 GEORGE 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 G Poulos Dds's NPI number?

The NPI number for John G Poulos Dds is 1932597606. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is John G Poulos Dds located?

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

What is John G Poulos Dds'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 G Poulos Dds was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.