John G Poulos DDS
John G Poulos DDS is a Prosthodontics in Northport, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
22 Laurel AveNorthport, NY 11768-3165
Phone: (631) 262-0644
Fax: (631) 262-0645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 31347 (NY) |
|---|
Record details
| NPI number | 1932597606 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Poulos — Owner · (631) 262-0644 |
| NPI enumerated | January 5, 2015 |
| Last updated in NPPES | January 5, 2015 |
| Mailing address | 22 Laurel Ave, Northport, NY 11768-3165 |
Other providers in Northport
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John George Poulos, DDS
22 Laurel Ave, Northport, NY 11768-3165 · (631) 262-0644